LEO KENNETH COOPER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036023573

License Status

NOT RENEWED

Business

First Name

LEO KENNETH

Last Name

COOPER

Suffix

Business Name

LEO KENNETH COOPER MD

Original Issue Date

02/24/1940

Effective Date

02/24/1940

City

GARY

State

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006