CHRISTINE FRIEND COOPER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121130

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

FRIEND

Last Name

COOPER

Suffix

Business Name

CHRISTINE FRIEND COOPER MD

Original Issue Date

06/09/2008

Effective Date

06/09/2008

Expiration Date

07/31/2011

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/14/2011