LA VONT L COOPER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

LA VONT L

Last Name

COOPER

Suffix

Business Name

LA VONT L COOPER MD

Original Issue Date

03/27/1987

Effective Date

03/27/1987

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006