GINA MICHELE DOMM - Dentist License in Texas | # 019028701

GINA MICHELE DOMM

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028701

License Status

NOT RENEWED

Business

N

First Name

GINA

Middle

MICHELE

Last Name

DOMM

Business Name

GINA MICHELE DOMM

Original Issue Date

06/28/2011

Effective Date

07/13/2015

Expiration Date

09/30/2018

State

TX

Ever Disciplined

N

LastModifiedDate

10/31/2018