JEROME JOHN GOMOLKA Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019497

License Status

INACTIVE

Business

First Name

JEROME JOHN

Last Name

GOMOLKA

Business Name

JEROME JOHN GOMOLKA

Original Issue Date

03/27/1985

Effective Date

09/05/2018

Expiration Date

12/31/2021

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

12/30/2021