GWEN LANGE - Dentist License in Tennessee | # 020004003

GWEN LANGE

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004003

License Status

NOT RENEWED

Business

N

First Name

GWEN

Last Name

LANGE

Business Name

GWEN LANGE

Original Issue Date

09/05/1979

Effective Date

09/05/1979

Expiration Date

04/01/1982

State

TN

Ever Disciplined

N

LastModifiedDate

10/12/2005