BENJAMIN DAVIS COPE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

DAVIS

Last Name

COPE

Business Name

BENJAMIN DAVIS COPE

Original Issue Date

07/11/2006

Effective Date

09/08/2009

Expiration Date

09/30/2012

City

ENTERPRISE

State

Zip

84725

County

UTAH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012