STEPHANIE J COOPER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093792

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

COOPER

Suffix

Business Name

STEPHANIE J COOPER MD

Original Issue Date

07/25/1996

Effective Date

07/25/1996

Expiration Date

07/31/2002

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Ever Disciplined

LastModifiedDate

10/09/2006