CALEB ALAN COOPER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071692

License Status

EXPIRED

Business

Title

First Name

CALEB

Middle

ALAN

Last Name

COOPER

Business Name

CALEB ALAN COOPER MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2021

City

CARMEL

State

Zip

46032

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

10/11/2022