GINA MICHELE DOMM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028701

License Status

NOT RENEWED

Business

First Name

GINA

Middle

MICHELE

Last Name

DOMM

Business Name

GINA MICHELE DOMM

Original Issue Date

06/28/2011

Effective Date

07/13/2015

Expiration Date

09/30/2018

City

SAN ANTONIO

State

Zip

78245

County

TEXAS

Ever Disciplined

LastModifiedDate

10/31/2018