CHARLES W COOPER DO - Medical Doctor License in Illinois | # 036094689

CHARLES W COOPER DO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094689

License Status

NOT RENEWED

Business

N

First Name

CHARLES W

Last Name

COOPER

Suffix

DO

Business Name

CHARLES W COOPER DO

Original Issue Date

01/23/1997

Effective Date

01/23/1997

Expiration Date

07/31/2002

State

IL

Ever Disciplined

Y

LastModifiedDate

10/09/2006

Case Number

1996014018

Action

Probation

Discipline Start Date

12/22/1997