DONNA J KOOS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005489

License Status

NOT RENEWED

Business

First Name

DONNA J

Last Name

KOOS

Business Name

DONNA J KOOS

Original Issue Date

06/13/1984

Effective Date

06/13/1984

Expiration Date

09/30/2002

City

GOLD CANYON

State

Zip

85218

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/17/2005