ALEXIS C COOK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011007

License Status

NOT RENEWED

Business

First Name

ALEXIS

Middle

Last Name

COOK

Business Name

ALEXIS C COOK

Original Issue Date

06/24/2004

Effective Date

08/17/2009

Expiration Date

09/30/2012

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

11/14/2012