PHILIP COOK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

ACTIVE

Business

First Name

PHILIP

Last Name

COOK

Business Name

PHILIP COOK

Original Issue Date

07/24/2007

Effective Date

06/11/2024

Expiration Date

09/30/2027

City

WILMETTE

State

Zip

60091

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/11/2024