SCOTT MICHAEL BIETSCH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002781

License Status

ACTIVE

Business

Title

DMD

First Name

SCOTT

Middle

MICHAEL

Last Name

BIETSCH

Business Name

SCOTT MICHAEL BIETSCH DMD

Original Issue Date

09/21/2016

Effective Date

08/26/2024

Expiration Date

09/30/2027

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

PEDIATRIC DENTISTRY

Ever Disciplined

LastModifiedDate

08/26/2024