DENICE D COOK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

First Name

DENICE D

Last Name

COOK

Suffix

Business Name

DENICE D COOK MD

Original Issue Date

02/29/1996

Effective Date

07/24/2023

Expiration Date

07/31/2026

City

HARVEY

State

Zip

60426

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2023