License holder summary

Roderick Sampson Cooper is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Roderick Sampson Cooper is Advanced Dental, 2955 Professional Lane, Terre Haute IN 47802. This licensed professional license is not current. The license was granted 08/01/2006 and expired on 03/01/2008.

Indiana

Professional Licensing Agency

Roderick Sampson Cooper
Controlled Substance Registration - Dentist
License number
12010881B
Date granted
08/01/2006
Date expires
03/01/2008
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Advanced Dental, 2955 Professional Lane, Terre Haute IN 47802
indianalicensing.org
ID 5125367
LAST UPDATED 2024-03-28 06:40:50 UTC

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