DAVE GRAY COOK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

First Name

DAVE GRAY

Last Name

COOK

Suffix

DDS

Business Name

DAVE GRAY COOK DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2006

City

DECATUR

State

Zip

62523

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006