MARTHA GOMOLKA - Dentist License in Illinois | # 020001744

MARTHA GOMOLKA

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001744

License Status

NOT RENEWED

Business

N

First Name

MARTHA

Last Name

GOMOLKA

Business Name

MARTHA GOMOLKA

Original Issue Date

07/13/1972

Effective Date

07/13/1972

Expiration Date

09/30/1988

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005