STEPHANIE J 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

STEPHANIE

Middle

Last Name

COOPER

Suffix

Business Name

STEPHANIE J COOPER MD

Original Issue Date

03/03/1998

Effective Date

03/03/1998

Expiration Date

07/31/2002

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006