JUSTIN MICHAEL GELLER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025439

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

MICHAEL

Last Name

GELLER

Suffix

DDS

Business Name

JUSTIN MICHAEL GELLER DDS

Original Issue Date

10/16/2000

Effective Date

10/16/2000

Expiration Date

09/30/2002

City

WEST BLOOMFIELD

State

Zip

48322

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/17/2005