TRACE ALEXANDER COOPER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086648

License Status

ACTIVE

Business

Title

First Name

TRACE

Middle

ALEXANDER

Last Name

COOPER

Business Name

TRACE ALEXANDER COOPER DO

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/12/2025