JOSEPH JAY COOPER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052723

License Status

CANCELLED

Business

First Name

JOSEPH

Middle

JAY

Last Name

COOPER

Suffix

Business Name

JOSEPH JAY COOPER MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

05/16/2007