KATHERINE BAILEY COOPER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003843

License Status

NOT RENEWED

Business

First Name

KATHERINE BAILEY

Last Name

COOPER

Business Name

KATHERINE BAILEY COOPER

Original Issue Date

07/03/1979

Effective Date

06/30/2015

Expiration Date

09/30/2018

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/31/2018