KEITH E COOPER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030892

License Status

EXPIRED

Business

First Name

KEITH

Middle

Last Name

COOPER

Business Name

KEITH E COOPER

Original Issue Date

04/28/1994

Effective Date

04/28/1994

Expiration Date

06/20/1995

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

05/24/2016