NOAH M COOPERSTEIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069109

License Status

CANCELLED

Business

Title

First Name

NOAH

Middle

Last Name

COOPERSTEIN

Business Name

NOAH M COOPERSTEIN MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/06/2016