DAVID M COOPER MD - Medical Doctor License in Illinois | # 125035924

DAVID M COOPER MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035924

License Status

EXPIRED

Business

N

First Name

DAVID

Middle

M

Last Name

COOPER

Suffix

MD

Business Name

DAVID M COOPER MD

Original Issue Date

05/12/1997

Effective Date

05/12/1997

Expiration Date

06/16/2000

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006