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Licensed Professional Information:
Medical Doctor 4301032422


 
Note
Disciplinary Actions last updated on: 05/03/2019.
Condition: 
Fine Imposed Severity:  Notice
Total Conditions: 2  (Notice: 2)
 

Licensee Detail

 
CONTROLLED SUBSTANCE LIST

City:

Lansing

State or Province:

Michigan

ZIP or Postal Code:

48912

CS Record Number:

5315004462

CS Status:

Lapsed

CS Expiration Date:

01/31/1998

 

City:

Livonia

State or Province:

Michigan

ZIP or Postal Code:

48154

CS Record Number:

5315004203

CS Status:

Lapsed

CS Expiration Date:

01/31/2013

 

City:

Lathrup Village

State or Province:

Michigan

ZIP or Postal Code:

48076

CS Record Number:

5315143951

CS Status:

Lapsed

CS Expiration Date:

01/31/2013

 

City:

Flint

State or Province:

Michigan

ZIP or Postal Code:

48503

CS Record Number:

5315000201

CS Status:

Lapsed

CS Expiration Date:

01/31/2013

 

City:

Ann Arbor

State or Province:

Michigan

ZIP or Postal Code:

48104

CS Record Number:

5315000639

CS Status:

Lapsed

CS Expiration Date:

06/30/1980

 

City:

Detroit

State or Province:

Michigan

ZIP or Postal Code:

48215

CS Record Number:

5315170201

CS Status:

Lapsed

CS Expiration Date:

01/31/1992

 

City:

Lansing

State or Province:

Michigan

ZIP or Postal Code:

48906

CS Record Number:

5315004645

CS Status:

Lapsed

CS Expiration Date:

01/31/2013

 

City:

Lathrup Village

State or Province:

Michigan

ZIP or Postal Code:

48076

CS Record Number:

5315095413

CS Status:

Lapsed

CS Expiration Date:

06/30/1986

 

City:

Sterling Heights

State or Province:

Michigan

ZIP or Postal Code:

48312

CS Record Number:

5315004202

CS Status:

Lapsed

CS Expiration Date:

01/31/2013

 

City:

Southgate

State or Province:

Michigan

ZIP or Postal Code:

48195

CS Record Number:

5315004200

CS Status:

Lapsed

CS Expiration Date:

01/31/2013

DRUG CONTROL LIST

City:

Lathrup Village

State:

Michigan

ZIP Code:

48076

DC Record Number:

5307001473

DC Status:

Lapsed

DC Expiration Date:

01/31/2013

 
 

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