CHAD EUGENE BETZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

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

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012