TIMOTHY M GOMEZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000207

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

Last Name

GOMEZ

Business Name

TIMOTHY M GOMEZ

Original Issue Date

09/03/1987

Effective Date

09/03/1987

Expiration Date

08/30/1990

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005