KEVIN DAVID COOPER DO - Medical Doctor License in Illinois | # 125072794

KEVIN DAVID COOPER DO

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072794

License Status

CANCELLED

Business

N

Title

DO

First Name

KEVIN

Middle

DAVID

Last Name

COOPER

Business Name

KEVIN DAVID COOPER DO

Original Issue Date

06/25/2018

Effective Date

06/25/2018

Expiration Date

06/24/2021

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

06/04/2018