KELLY JO COOKE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039673

License Status

EXPIRED

Business

First Name

KELLY

Middle

Last Name

COOKE

Suffix

Business Name

KELLY JO COOKE DO

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2001

City

PEORIA

State

Zip

61637

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006