Justin Victor Distelrath
ActiveMichigan license 2901023205
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 2901023205
- Status
- Active
- First issued
- May 22, 2019
- Expires
- May 22, 2029
- License holder
- Justin Victor Distelrath
- Entity type
- Individual
Classifications
- Dentist (Dentistry) Dental