CHAD EUGENE BETZ - Dentist License in Michigan | # 31*****87

CHAD EUGENE BETZ

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

NOT RENEWED

Business

N

First Name

CHAD

Middle

EUGENE

Last Name

BETZ

Business Name

CHAD EUGENE BETZ

Original Issue Date

08/23/2010

Effective Date

08/23/2010

Expiration Date

09/30/2012

State

MI

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

11/14/2012