CHAD EUGENE BETZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002385

License Status

NOT RENEWED

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

Specialty/Qualifier

ORAL AND MAXILLOFACIAL SURGERY

Ever Disciplined

LastModifiedDate

11/14/2012