THOMAS WILLIAM COOK JR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

CANCELLED

Business

First Name

THOMAS WILLIAM

Last Name

COOK JR

Suffix

Business Name

THOMAS WILLIAM COOK JR MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

ROCKFORD

State

Zip

61107

County

BOONE

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/09/2006