GWEN LANGE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004003

License Status

NOT RENEWED

Business

First Name

GWEN

Last Name

LANGE

Business Name

GWEN LANGE

Original Issue Date

09/05/1979

Effective Date

09/05/1979

Expiration Date

04/01/1982

City

KNOXVILLE

State

Zip

37923

County

TENNESSEE

Ever Disciplined

LastModifiedDate

10/12/2005