KEVIN DAVID COOPER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154513

License Status

NOT RENEWED

Business

Title

First Name

KEVIN

Middle

DAVID

Last Name

COOPER

Business Name

KEVIN DAVID COOPER DO

Original Issue Date

10/15/2020

Effective Date

10/15/2020

Expiration Date

07/31/2023

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023