Terrence D Bongard
Dentist
New Mexico DD1191 Revoked
This New Mexico license was held by Terrence D Bongard. The license is no longer active. It was granted on 06/30/1977 and expired on 06/30/2003
LICENSE DETAILS
- License Number: DD1191
- Category: Dentist
- Status: Revoked
- Date Granted: 06/30/1977 (almost 47 years ago)
- Expiry Date: 06/30/2003 (almost 21 years ago)