JACQUELYN M COOPER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006065

License Status

ACTIVE

Business

First Name

JACQUELYN M

Last Name

COOPER

Business Name

JACQUELYN M COOPER

Original Issue Date

06/04/1986

Effective Date

08/19/2024

Expiration Date

09/30/2027

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

08/19/2024