AMANDA NICOLE COOPER MD - Medical Doctor License in Wisconsin | # 036132303

AMANDA NICOLE COOPER MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132303

License Status

NOT RENEWED

Business

N

Title

MD

First Name

AMANDA

Middle

NICOLE

Last Name

COOPER

Business Name

AMANDA NICOLE COOPER MD

Original Issue Date

04/08/2013

Effective Date

07/09/2014

Expiration Date

07/31/2017

State

WI

Ever Disciplined

N

LastModifiedDate

11/01/2017