DAVID ALBERT COOK DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015446

License Status

NOT RENEWED

Business

First Name

DAVID ALBERT

Last Name

COOK

Suffix

DMD

Business Name

DAVID ALBERT COOK DMD

Original Issue Date

04/30/1976

Effective Date

09/30/2009

Expiration Date

09/30/2012

City

SPRINGFIELD

State

Zip

65807

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/14/2012