DAVID E COOK - Medical Doctor License in Illinois | # 125047122

DAVID E COOK

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047122

License Status

EXPIRED

Business

N

First Name

DAVID

Middle

E

Last Name

COOK

Business Name

DAVID E COOK

Original Issue Date

11/01/2003

Effective Date

11/01/2003

Expiration Date

10/31/2005

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006