DAVID W KOEPER Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036056

License Status

CANCELLED

Business

First Name

DAVID

Middle

Last Name

KOEPER

Business Name

DAVID W KOEPER

Original Issue Date

05/14/1997

Effective Date

05/14/1997

Expiration Date

06/21/2000

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006