PAUL NATHANIEL COOPER MD - Medical Doctor License in Illinois | # 125072649

PAUL NATHANIEL COOPER MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072649

License Status

CANCELLED

Business

N

Title

MD

First Name

PAUL

Middle

NATHANIEL

Last Name

COOPER

Business Name

PAUL NATHANIEL COOPER MD

Original Issue Date

06/24/2018

Effective Date

06/24/2018

Expiration Date

06/23/2021

State

IL

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

N

LastModifiedDate

05/17/2018