License holder summary

George Robert Cooper is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for George Robert Cooper is 2121 EAST DUPONT RD SUITE E, FORT WAYNE IN 46845. This licensed professional license is current. The license was granted 07/31/1986 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

George Robert Cooper
Controlled Substance Registration - Dentist
License number
12008379B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2121 EAST DUPONT RD SUITE E, FORT WAYNE IN 46845
indianalicensing.org
ID 5094696
LAST UPDATED 2024-04-05 23:29:58 UTC

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