LATANYA ALISA GALLON Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025850

License Status

INACTIVE

Business

First Name

LATANYA

Middle

ALISA

Last Name

GALLON

Business Name

LATANYA ALISA GALLON

Original Issue Date

06/11/2002

Effective Date

06/11/2002

Expiration Date

09/30/2004

City

MONTICELLO

State

Zip

32344

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/17/2005