PAUL NATHANIEL COOPER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072649

License Status

CANCELLED

Business

Title

First Name

PAUL

Middle

NATHANIEL

Last Name

COOPER

Business Name

PAUL NATHANIEL COOPER MD

Original Issue Date

06/24/2018

Effective Date

06/24/2018

Expiration Date

06/23/2021

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

05/17/2018