TEETHENA COMEKO COOPER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056191

License Status

CANCELLED

Business

Title

First Name

TEETHENA

Middle

COMEKO

Last Name

COOPER

Business Name

TEETHENA COMEKO COOPER MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2014

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/24/2014