CHAD EUGENE BETZ Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028478

License Status

INACTIVE

Business

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

City

NORTHVILLE

State

Zip

48168

County

WAYNE

Ever Disciplined

LastModifiedDate

06/06/2012