DANIELLE MARIE COOPER - Physician Assistant License in Missouri | # 085007164

DANIELLE MARIE COOPER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007164

License Status

NOT RENEWED

Business

N

First Name

DANIELLE

Middle

MARIE

Last Name

COOPER

Business Name

DANIELLE MARIE COOPER

Original Issue Date

08/12/2019

Effective Date

08/12/2019

Expiration Date

03/01/2020

State

MO

Ever Disciplined

N

LastModifiedDate

11/24/2020