CHARLENE BUSS EBERT - Dentist License in Michigan | # 020000924

CHARLENE BUSS EBERT

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000924

License Status

NOT RENEWED

Business

N

First Name

CHARLENE BUSS

Last Name

EBERT

Business Name

CHARLENE BUSS EBERT

Original Issue Date

07/20/1967

Effective Date

07/20/1967

Expiration Date

09/30/1984

State

MI

Ever Disciplined

N

LastModifiedDate

10/12/2005