CHARLIE COX JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

NOT RENEWED

Business

First Name

CHARLIE

Last Name

COX JR

Suffix

DDS

Business Name

CHARLIE COX JR DDS

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005