LA VONT L COOPER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070871

License Status

NOT RENEWED

Business

First Name

LA VONT L

Last Name

COOPER

Suffix

Business Name

LA VONT L COOPER MD

Original Issue Date

06/17/1985

Effective Date

06/17/1985

Expiration Date

07/31/1990

City

PHOENIX

State

Zip

85021

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006