License holder summary

DAVID LAWRENCE COOK is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for DAVID LAWRENCE COOK is P O BOX 552, MENTONE IN, MENTONE IN 46539. This licensed professional license is not current. The license was granted 06/20/1957 and expired on 11/30/1983.

Indiana

Professional Licensing Agency

DAVID LAWRENCE COOK
Controlled Substance Registration - Dentist
License number
12005474B
Date granted
06/20/1957
Date expires
11/30/1983
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
P O BOX 552, MENTONE IN, MENTONE IN 46539
indianalicensing.org
ID 5110639
LAST UPDATED 2024-03-11 11:04:54 UTC

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