VERNON DALE COOK JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

VERNON DALE

Last Name

COOK JR

Suffix

Business Name

VERNON DALE COOK JR MD

Original Issue Date

10/04/1984

Effective Date

10/04/1984

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006