KEITH E COOPER - Medical Doctor License in Illinois | # 125030892

KEITH E COOPER

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030892

License Status

EXPIRED

Business

N

First Name

KEITH

Middle

E

Last Name

COOPER

Business Name

KEITH E COOPER

Original Issue Date

04/28/1994

Effective Date

04/28/1994

Expiration Date

06/20/1995

State

IL

Ever Disciplined

N

LastModifiedDate

05/24/2016