DEAN CLARENCE COOPER DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012612

License Status

INACTIVE

Business

First Name

DEAN CLARENCE

Last Name

COOPER

Suffix

DDS

Business Name

DEAN CLARENCE COOPER DDS

Original Issue Date

11/25/1964

Effective Date

11/25/1964

Expiration Date

09/30/2000

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/17/2005