MARY T COLE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

ACTIVE

Business

First Name

MARY

Middle

Last Name

COLE

Suffix

DMD

Business Name

MARY T COLE DMD

Original Issue Date

02/23/2004

Effective Date

08/23/2024

Expiration Date

09/30/2027

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/23/2024