DAVID ANTHONY COOK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080373

License Status

CANCELLED

Business

Title

First Name

DAVID

Middle

ANTHONY

Last Name

COOK

Business Name

DAVID ANTHONY COOK MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/24/2025