LISA L COOK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008122

License Status

NOT RENEWED

Business

First Name

LISA L

Last Name

COOK

Business Name

LISA L COOK

Original Issue Date

10/08/1993

Effective Date

09/28/2012

Expiration Date

09/30/2015

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

04/25/2016