CHAD EUGENE BETZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000793

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

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

LastModifiedDate

11/14/2012