MAXWELL EDISON COOPER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125085165

License Status

ACTIVE

Business

Title

First Name

MAXWELL

Middle

EDISON

Last Name

COOPER

Business Name

MAXWELL EDISON COOPER MD

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Interventional Radiology - Independent

Ever Disciplined

LastModifiedDate

03/30/2025