DANA SHEA COOPER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064839

License Status

EXPIRED

Business

Title

First Name

DANA

Middle

SHEA

Last Name

COOPER

Business Name

DANA SHEA COOPER MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

10/25/2018