TEETHENA COMEKO COOPER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

Title

First Name

TEETHENA

Middle

COMEKO

Last Name

COOPER

Business Name

TEETHENA COMEKO COOPER MD

Original Issue Date

05/02/2014

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

62864

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

06/28/2023