AMANDA N COOKSEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014173

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

COOKSEY

Business Name

AMANDA N COOKSEY

Original Issue Date

09/12/2012

Effective Date

09/12/2012

Expiration Date

09/30/2015

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

04/25/2016