LATANYA ALISA GALLON - Dentist License in Florida | # 019025850

LATANYA ALISA GALLON

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025850

License Status

INACTIVE

Business

N

First Name

LATANYA

Middle

ALISA

Last Name

GALLON

Business Name

LATANYA ALISA GALLON

Original Issue Date

06/11/2002

Effective Date

06/11/2002

Expiration Date

09/30/2004

State

FL

Ever Disciplined

N

LastModifiedDate

10/17/2005