JEROME JOHN GOMOLKA - Dentist License in Illinois | # 019019497

JEROME JOHN GOMOLKA

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019497

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

12/30/2021