COURTNEY MIKEL ATKINSON Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

CANCELLED

Business

First Name

COURTNEY

Middle

MIKEL

Last Name

ATKINSON

Business Name

COURTNEY MIKEL ATKINSON

Original Issue Date

07/26/2006

Effective Date

08/17/2009

Expiration Date

09/30/2012

City

POPLAR BLUFF

State

Zip

63901

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/17/2009