JAC A COOPER MD - Medical Doctor License in Illinois | # 036069530

JAC A COOPER MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069530

License Status

NOT RENEWED

Business

N

First Name

JAC A

Last Name

COOPER

Suffix

MD

Business Name

JAC A COOPER MD

Original Issue Date

09/25/1984

Effective Date

09/25/1984

Expiration Date

07/31/1987

State

IL

Ever Disciplined

N

LastModifiedDate

09/20/2006