GERALD MICHAEL BIEZE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013791

License Status

NOT RENEWED

Business

First Name

GERALD MICHAEL

Last Name

BIEZE

Suffix

DDS

Business Name

GERALD MICHAEL BIEZE DDS

Original Issue Date

07/07/1970

Effective Date

07/07/1970

Expiration Date

09/30/1994

City

PORTLAND

State

Zip

97219

County

OREGON

Ever Disciplined

LastModifiedDate

10/12/2005