ANGELA K GATHERS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010890

License Status

INACTIVE

Business

First Name

ANGELA

Middle

Last Name

GATHERS

Business Name

ANGELA K GATHERS

Original Issue Date

04/05/2004

Effective Date

08/20/2009

Expiration Date

09/30/2012

City

FORT MADISON

State

Zip

52627

County

IOWA

Ever Disciplined

LastModifiedDate

06/06/2012