HEATHER IRENE COOK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036164511

License Status

ACTIVE

Business

Title

First Name

HEATHER

Middle

IRENE

Last Name

COOK

Business Name

HEATHER IRENE COOK DO

Original Issue Date

04/25/2023

Effective Date

04/25/2023

Expiration Date

07/31/2026

City

TRINIDAD

State

Zip

81082

Ever Disciplined

LastModifiedDate

04/25/2023