Brian L Balaze
ActiveMichigan license 2901011422
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 2901011422
- Status
- Active
- First issued
- July 8, 1976
- Expires
- July 8, 2027
- License holder
- Brian L Balaze
- Entity type
- Individual
Classifications
- Dentist (Dentistry) Dental