ROBERT MICHAEL COOPER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****14

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

MICHAEL

Last Name

COOPER

Business Name

ROBERT MICHAEL COOPER

Original Issue Date

08/28/2015

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60660

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021