CHARLES W COOPER DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****09

NOT RENEWED

N

CHARLES W

COOPER

DO

CHARLES W COOPER DO

01/22/1999

01/22/1999

07/31/2002

OLYMPIA FIELDS

IL

60461

COOK

II III IV V

Y

10/09/2006

1996014018

Probation

01/22/1999