MICHAEL RICHARD KOOP MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034588

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

RICHARD

Last Name

KOOP

Suffix

Business Name

MICHAEL RICHARD KOOP MD

Original Issue Date

05/21/1996

Effective Date

05/21/1996

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

09/22/2006