CHARMAYNE GAIL COOLEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

Title

First Name

CHARMAYNE

Middle

GAIL

Last Name

COOLEY

Business Name

CHARMAYNE GAIL COOLEY MD

Original Issue Date

08/30/2023

Effective Date

08/30/2023

Expiration Date

07/31/2026

City

MARYVILLE

State

Zip

62062

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/05/2023