TIMOTHY M GOMEZ - Dentist License in Illinois | # 018000207

TIMOTHY M GOMEZ

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000207

License Status

NOT RENEWED

Business

N

First Name

TIMOTHY

Middle

M

Last Name

GOMEZ

Business Name

TIMOTHY M GOMEZ

Original Issue Date

09/03/1987

Effective Date

09/03/1987

Expiration Date

08/30/1990

State

IL

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

N

LastModifiedDate

10/12/2005