STEPHANIE J COOPER MD - Medical Doctor License in Illinois | # 036093792

STEPHANIE J COOPER MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093792

License Status

NOT RENEWED

Business

N

First Name

STEPHANIE

Middle

J

Last Name

COOPER

Suffix

MD

Business Name

STEPHANIE J COOPER MD

Original Issue Date

07/25/1996

Effective Date

07/25/1996

Expiration Date

07/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006