DANA SHEA COOPER MD - Medical Doctor License in Illinois | # 125064839

DANA SHEA COOPER MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064839

License Status

EXPIRED

Business

N

Title

MD

First Name

DANA

Middle

SHEA

Last Name

COOPER

Business Name

DANA SHEA COOPER MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2018

State

IL

Specialty/Qualifier

Neurology

Ever Disciplined

N

LastModifiedDate

10/25/2018