DANIEL HORATIO COOPER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155293

License Status

NOT RENEWED

Business

Title

First Name

DANIEL

Middle

HORATIO

Last Name

COOPER

Business Name

DANIEL HORATIO COOPER MD

Original Issue Date

01/13/2021

Effective Date

01/13/2021

Expiration Date

07/31/2023

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

11/30/2023