TYLER SAMUEL COOPER DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071850

License Status

CANCELLED

Business

Title

First Name

TYLER

Middle

SAMUEL

Last Name

COOPER

Business Name

TYLER SAMUEL COOPER DO

Original Issue Date

06/24/2018

Effective Date

06/24/2018

Expiration Date

06/23/2021

City

HOLT

State

Zip

48842

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/07/2018