COOPER CAMPBELL WRISTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163046

License Status

NOT RENEWED

Business

Title

First Name

COOPER

Middle

CAMPBELL

Last Name

WRISTON

Business Name

COOPER CAMPBELL WRISTON MD

Original Issue Date

11/30/2022

Effective Date

11/30/2022

Expiration Date

07/31/2023

City

BEMIDJI

State

Zip

56601

Ever Disciplined

LastModifiedDate

11/30/2023