JAMES MICHAEL COCAGNE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

NOT RENEWED

Business

First Name

JAMES MICHAEL

Last Name

COCAGNE

Suffix

DDS

Business Name

JAMES MICHAEL COCAGNE DDS

Original Issue Date

01/19/1984

Effective Date

01/19/1984

Expiration Date

09/30/2002

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005