KEVIN DAVID COOPER DO - Medical Doctor License in Illinois | # 036154513

KEVIN DAVID COOPER DO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154513

License Status

NOT RENEWED

Business

N

Title

DO

First Name

KEVIN

Middle

DAVID

Last Name

COOPER

Business Name

KEVIN DAVID COOPER DO

Original Issue Date

10/15/2020

Effective Date

10/15/2020

Expiration Date

07/31/2023

State

IL

Ever Disciplined

N

LastModifiedDate

11/30/2023