TIFFANY ANISE COOKE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053024

License Status

CANCELLED

Business

First Name

TIFFANY

Middle

ANISE

Last Name

COOKE

Suffix

Business Name

TIFFANY ANISE COOKE MD

Original Issue Date

06/24/2007

Effective Date

06/24/2007

Expiration Date

06/23/2010

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/08/2007