HUGH EDWIN COOPER JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

HUGH EDWIN

Last Name

COOPER JR

Suffix

Business Name

HUGH EDWIN COOPER JR MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1990

City

EAST PEORIA

State

Zip

61630

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006