TIMOTHY JAMES P COOPER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095386

License Status

INACTIVE

Business

First Name

TIMOTHY JAMES P

Last Name

COOPER

Suffix

Business Name

TIMOTHY JAMES P COOPER MD

Original Issue Date

04/23/1997

Effective Date

04/23/1997

Expiration Date

07/31/2002

City

ST CHARLES

State

Zip

63304

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006