MAXWELL EDISON COOPER MD - Medical Doctor License in Illinois | # 125085165

MAXWELL EDISON COOPER MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125085165

License Status

ACTIVE

Business

N

Title

MD

First Name

MAXWELL

Middle

EDISON

Last Name

COOPER

Business Name

MAXWELL EDISON COOPER MD

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2026

State

IL

Specialty/Qualifier

Interventional Radiology - Independent

Ever Disciplined

N

LastModifiedDate

03/30/2025