License Directory

Ali Banisad

Active

Michigan license 4301503338

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
4301503338
Status
Active (Active - In Late Renewal)
First issued
September 17, 2020
Expired
September 17, 2026
License holder
Ali Banisad
Entity type
Individual

Classifications

Contact

Detroit Medical Center
GME office 4201 St Antoine, UHC 9C
Detroit, MI 48201
Wayne County