ROGER E DECOOK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045742

License Status

NOT RENEWED

Business

First Name

ROGER E

Last Name

DECOOK

Suffix

Business Name

ROGER E DECOOK MD

Original Issue Date

07/01/1972

Effective Date

05/13/2011

Expiration Date

07/31/2014

City

HOSCHTON

State

Zip

30548

County

GEORGIA

Ever Disciplined

LastModifiedDate

11/17/2014