DAVID E COOK Medical Doctor License verification

DAVID E COOK

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114692

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

COOK

Business Name

DAVID E COOK

Original Issue Date

10/03/2005

Effective Date

08/21/2020

Expiration Date

07/31/2023

City

MOUNT ZION

State

Zip

62549

County

MACON

Ever Disciplined

LastModifiedDate

11/30/2023

Case Number

2018010907

Action

Suspension

Discipline Start Date

03/15/2021

Discipline Reason

physician and surgeon license placed on indefinite suspension for a minimum of six months due to a boundary violation which led to termination from employment and disciplinary action by Medical Licensing Board of Indiana and the DEA.