DAVE GRAY COOK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016179

License Status

NOT RENEWED

Business

First Name

DAVE GRAY

Last Name

COOK

Suffix

DDS

Business Name

DAVE GRAY COOK DDS

Original Issue Date

11/14/1977

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

DECATUR

State

Zip

62523

County

MACON

Ever Disciplined

LastModifiedDate

11/08/2006