RODERICK SAMPSON COOPER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028179

License Status

NOT RENEWED

Business

First Name

RODERICK

Middle

SAMPSON

Last Name

COOPER

Business Name

RODERICK SAMPSON COOPER

Original Issue Date

12/22/2009

Effective Date

12/22/2009

Expiration Date

09/30/2012

City

FLORISSANT

State

Zip

63034

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/14/2012