EDWIN NEAL COOK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

NOT RENEWED

Business

First Name

EDWIN NEAL

Last Name

COOK

Suffix

DDS

Business Name

EDWIN NEAL COOK DDS

Original Issue Date

09/02/1981

Effective Date

09/02/1981

Expiration Date

09/30/1984

City

CRESTWOOD

State

Zip

60445

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005