KELLY DAWN GOMEZ Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011826

License Status

ACTIVE

Business

First Name

KELLY

Middle

DAWN

Last Name

GOMEZ

Business Name

KELLY DAWN GOMEZ

Original Issue Date

07/21/2006

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

KENOSHA

State

Zip

53142

Ever Disciplined

LastModifiedDate

05/02/2024