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Licensed Professional Information:
Medical Doctor 4301050438


 
Note
Disciplinary Actions last updated on: 05/03/2019.
Condition: 
Fine Imposed Severity:  Notice
Total Conditions: 1  (Notice: 1)
 

Licensee Detail

 
CONTROLLED SUBSTANCE LIST

City:

Ann Arbor

State:

Michigan

ZIP Code:

48108

CS Record Number:

5315145493

CS Status:

Active

CS Expiration Date:

09/02/2023

 
 

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