MICHAEL A COOPER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****44

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

COOPER

Business Name

MICHAEL A COOPER

Original Issue Date

08/23/1984

Effective Date

12/17/2021

Expiration Date

09/30/2024

City

HAMPSHIRE

State

Zip

60140

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025