KENNETH RALPH GOMETZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012030

License Status

NOT RENEWED

Business

First Name

KENNETH RALPH

Last Name

GOMETZ

Suffix

DDS

Business Name

KENNETH RALPH GOMETZ DDS

Original Issue Date

12/21/1961

Effective Date

12/21/1961

Expiration Date

04/01/1982

City

PHOENIX

State

Zip

85015

County

ARKANSAS

Ever Disciplined

LastModifiedDate

10/12/2005