PATRICE DIANE COX Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002070

License Status

INACTIVE

Business

First Name

PATRICE DIANE

Last Name

COX

Business Name

PATRICE DIANE COX

Original Issue Date

07/11/1973

Effective Date

08/11/2009

Expiration Date

09/30/2012

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

06/06/2012