KAREN ELAINE WILLIAMS-COOPER DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000628

License Status

INACTIVE

Business

Title

DDS

First Name

KAREN

Middle

ELAINE

Last Name

WILLIAMS-COOPER

Business Name

KAREN ELAINE WILLIAMS-COOPER DDS

Original Issue Date

09/17/2004

Effective Date

09/17/2004

Expiration Date

09/30/2006

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

10/13/2005