GREGORY A COOPER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

GREGORY A

Last Name

COOPER

Suffix

Business Name

GREGORY A COOPER MD

Original Issue Date

07/15/1985

Effective Date

07/15/1985

Expiration Date

07/31/1987

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/26/2006