JUSTIN PAUL COCO DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052721

License Status

CANCELLED

Business

Title

First Name

JUSTIN

Middle

PAUL

Last Name

COCO

Business Name

JUSTIN PAUL COCO DO

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

05/16/2007