STEPHEN W COOPER MD - Medical Doctor License in Illinois | # 125071514

STEPHEN W COOPER MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071514

License Status

EXPIRED

Business

N

Title

MD

First Name

STEPHEN

Middle

W

Last Name

COOPER

Business Name

STEPHEN W COOPER MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2021

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

10/11/2022