VICKY BONGOMIN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020018485

License Status

ACTIVE

Business

First Name

VICKY

Last Name

BONGOMIN

Business Name

VICKY BONGOMIN

Original Issue Date

04/14/2025

Effective Date

04/14/2025

Expiration Date

09/30/2027

City

OMAHA

State

Zip

68102

Ever Disciplined

LastModifiedDate

03/24/2025