KEVIN MICHAEL COOKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

KEVIN MICHAEL

Last Name

COOKE

Suffix

Business Name

KEVIN MICHAEL COOKE MD

Original Issue Date

09/30/1981

Effective Date

09/30/1981

Expiration Date

07/31/1987

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006