TIFFANY ANISE COOKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125731

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

ANISE

Last Name

COOKE

Suffix

Business Name

TIFFANY ANISE COOKE MD

Original Issue Date

05/12/2010

Effective Date

04/19/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014