AMANDA N COOKSEY - Dentist License in Illinois | # 020014173

AMANDA N COOKSEY

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014173

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

N

Last Name

COOKSEY

Business Name

AMANDA N COOKSEY

Original Issue Date

09/12/2012

Effective Date

09/12/2012

Expiration Date

09/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

04/25/2016