MITCHELL R COOPER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****38

License Status

NOT RENEWED

Business

First Name

MITCHELL R

Last Name

COOPER

Suffix

DDS

Business Name

MITCHELL R COOPER DDS

Original Issue Date

05/23/1996

Effective Date

05/23/1996

Expiration Date

09/30/2006

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006