License Directory

Jibran Fateh

Active

Michigan license 4301510886

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
4301510886
Status
Active
First issued
December 20, 2023
Expires
December 20, 2026
License holder
Jibran Fateh
Entity type
Individual

Classifications

Contact

Ascension Providence Hospital
GME Office 16001 W Nine Mile Rd
Southfield, MI 48075
Oakland County