TYLER SAMUEL COOPER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

ACTIVE

Business

Title

First Name

TYLER

Middle

SAMUEL

Last Name

COOPER

Business Name

TYLER SAMUEL COOPER DO

Original Issue Date

08/06/2020

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

HOLT

State

Zip

48842

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/17/2023