SOUMALY GOMEZ - Dentist License in Indiana | # 020013387

SOUMALY GOMEZ

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013387

License Status

INACTIVE

Business

N

First Name

SOUMALY

Last Name

GOMEZ

Business Name

SOUMALY GOMEZ

Original Issue Date

08/19/2010

Effective Date

08/19/2010

Expiration Date

09/30/2012

State

IN

Ever Disciplined

N

LastModifiedDate

02/16/2012