RUTH DEBORAH COOPER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

NOT RENEWED

Business

First Name

RUTH DEBORAH

Last Name

COOPER

Business Name

RUTH DEBORAH COOPER

Original Issue Date

07/16/1984

Effective Date

07/16/1984

Expiration Date

09/30/1986

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005