ROBERT MICHAEL COOK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141346

License Status

NOT RENEWED

Business

Title

First Name

ROBERT

Middle

MICHAEL

Last Name

COOK

Business Name

ROBERT MICHAEL COOK MD

Original Issue Date

07/26/2016

Effective Date

07/26/2016

Expiration Date

07/31/2017

City

CENTERVILLE

State

Zip

45459

County

OHIO

Ever Disciplined

LastModifiedDate

11/01/2017

Case Number

2017002221

Action

Probation

Discipline Start Date

07/03/2017

Discipline Reason

due to an adverse action taken by the State of Ohio.