STEPHEN G COOK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

CANCELLED

Business

First Name

STEPHEN

Middle

Last Name

COOK

Suffix

Business Name

STEPHEN G COOK MD

Original Issue Date

09/20/1985

Effective Date

09/20/1985

Expiration Date

07/31/2008

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008