JENNIFER HELEN COOPERRIDER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

Title

First Name

JENNIFER

Middle

HELEN

Last Name

COOPERRIDER

Business Name

JENNIFER HELEN COOPERRIDER MD

Original Issue Date

05/21/2020

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/08/2023