TRACE ALEXANDER COOPER DO - Medical Doctor License in Illinois | # 125086648

TRACE ALEXANDER COOPER DO

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086648

License Status

ACTIVE

Business

N

Title

DO

First Name

TRACE

Middle

ALEXANDER

Last Name

COOPER

Business Name

TRACE ALEXANDER COOPER DO

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

06/12/2025