KATHRINE AMANDA COOPER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132423

License Status

NOT RENEWED

Business

Title

First Name

KATHRINE

Middle

AMANDA

Last Name

COOPER

Business Name

KATHRINE AMANDA COOPER MD

Original Issue Date

04/12/2013

Effective Date

06/19/2014

Expiration Date

07/31/2017

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017