OZITA DAREACE COOPER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

Title

First Name

OZITA

Middle

DAREACE

Last Name

COOPER

Business Name

OZITA DAREACE COOPER MD

Original Issue Date

06/10/2016

Effective Date

08/01/2017

Expiration Date

09/30/2020

City

EAST POINT

State

Zip

30344

County

GEORGIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021