JOEL D COOPER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

JOEL D

Last Name

COOPER

Suffix

Business Name

JOEL D COOPER MD

Original Issue Date

04/21/1993

Effective Date

04/21/1993

Expiration Date

07/31/1999

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006