DAVID E COOK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047122

License Status

EXPIRED

Business

First Name

DAVID

Middle

Last Name

COOK

Business Name

DAVID E COOK

Original Issue Date

11/01/2003

Effective Date

11/01/2003

Expiration Date

10/31/2005

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006