WILLIAM K COOPER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000335

License Status

NOT RENEWED

Business

First Name

WILLIAM K

Last Name

COOPER

Suffix

DDS

Business Name

WILLIAM K COOPER DDS

Original Issue Date

06/15/1993

Effective Date

06/15/1993

Expiration Date

09/30/2000

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

10/17/2005