CHRISTINE FRIEND COOPER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052168

License Status

CANCELLED

Business

First Name

CHRISTINE

Middle

FRIEND

Last Name

COOPER

Suffix

Business Name

CHRISTINE FRIEND COOPER MD

Original Issue Date

08/10/2006

Effective Date

08/10/2006

Expiration Date

08/09/2008

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006