ELLEN L GOHLKE Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006891

License Status

INACTIVE

Business

First Name

ELLEN L

Last Name

GOHLKE

Business Name

ELLEN L GOHLKE

Original Issue Date

03/28/1989

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

CAVE CREEK

State

Zip

85331

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/02/2009