MICHAEL RICHARD KOOP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099564

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

RICHARD

Last Name

KOOP

Suffix

Business Name

MICHAEL RICHARD KOOP MD

Original Issue Date

02/01/1999

Effective Date

02/01/1999

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006