PAULA GOMEZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

NOT RENEWED

Business

First Name

PAULA

Last Name

GOMEZ

Business Name

PAULA GOMEZ

Original Issue Date

06/08/2015

Effective Date

06/08/2015

Expiration Date

09/30/2018

City

WAUKESHA

State

Zip

53186

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/27/2024