MARY A COOK DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004175

License Status

NOT RENEWED

Business

First Name

MARY A

Last Name

COOK

Suffix

DPM

Business Name

MARY A COOK DPM

Original Issue Date

09/05/1987

Effective Date

09/05/1987

Expiration Date

01/31/1989

City

EDWARDS

State

Zip

39066

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

09/25/2006