JAC A COOPER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069530

License Status

NOT RENEWED

Business

First Name

JAC A

Last Name

COOPER

Suffix

Business Name

JAC A COOPER MD

Original Issue Date

09/25/1984

Effective Date

09/25/1984

Expiration Date

07/31/1987

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006