SOUMALY GOMEZ Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013387

License Status

INACTIVE

Business

First Name

SOUMALY

Last Name

GOMEZ

Business Name

SOUMALY GOMEZ

Original Issue Date

08/19/2010

Effective Date

08/19/2010

Expiration Date

09/30/2012

City

DYER

State

Zip

46311

County

LAKE

Ever Disciplined

LastModifiedDate

02/16/2012