JANIS E COOPER Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001192

License Status

INACTIVE

Business

First Name

JANIS E

Last Name

COOPER

Business Name

JANIS E COOPER

Original Issue Date

07/14/1969

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/24/2006