TIFFANY ANISE COOKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

ANISE

Last Name

COOKE

Suffix

Business Name

TIFFANY ANISE COOKE MD

Original Issue Date

05/12/2010

Effective Date

04/19/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014