AMBER RUSSELL COOPER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

Title

First Name

AMBER

Middle

RUSSELL

Last Name

COOPER

Business Name

AMBER RUSSELL COOPER MD

Original Issue Date

09/08/2015

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

SWANSEA

State

Zip

62226

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/17/2023