STEPHANIE A COOPER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020158

License Status

EXPIRED

Business

First Name

STEPHANIE

Middle

Last Name

COOPER

Business Name

STEPHANIE A COOPER

Original Issue Date

07/23/1986

Effective Date

07/23/1986

Expiration Date

07/01/1989

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006