BRIAN A COX DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

NOT RENEWED

Business

First Name

BRIAN A

Last Name

COX

Suffix

DDS

Business Name

BRIAN A COX DDS

Original Issue Date

01/09/1992

Effective Date

01/09/1992

Expiration Date

09/30/2002

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005