JENNIFER HELEN COOPERRIDER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069884

License Status

EXPIRED

Business

Title

First Name

JENNIFER

Middle

HELEN

Last Name

COOPERRIDER

Business Name

JENNIFER HELEN COOPERRIDER MD

Original Issue Date

06/24/2017

Effective Date

06/24/2017

Expiration Date

06/23/2020

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/19/2020