CRYSTAL CHARLYNN COOPER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153220

License Status

NOT RENEWED

Business

Title

First Name

CRYSTAL

Middle

CHARLYNN

Last Name

COOPER

Business Name

CRYSTAL CHARLYNN COOPER MD

Original Issue Date

06/02/2020

Effective Date

06/02/2020

Expiration Date

07/31/2023

City

DETROIT

State

Zip

48236

Ever Disciplined

LastModifiedDate

11/30/2023