TAMELA L GOUGH Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021031

License Status

INACTIVE

Business

First Name

TAMELA L

Last Name

GOUGH

Business Name

TAMELA L GOUGH

Original Issue Date

02/20/1988

Effective Date

02/20/1988

Expiration Date

09/30/1990

City

KANSAS

State

Zip

61933

County

EDGAR

Ever Disciplined

LastModifiedDate

10/12/2005