ALEXANDRIA GOMOLA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

NOT RENEWED

Business

Title

DMD

First Name

ALEXANDRIA

Last Name

GOMOLA

Business Name

ALEXANDRIA GOMOLA DMD

Original Issue Date

12/07/2021

Effective Date

12/07/2021

Expiration Date

09/30/2024

City

SAINT JOSEPH

State

Zip

49085

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025