LARRY A HOOPER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

LARRY

Middle

Last Name

HOOPER

Suffix

Business Name

LARRY A HOOPER MD

Original Issue Date

07/23/2009

Effective Date

07/23/2009

Expiration Date

07/31/2011

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011