AMANDA NICOLE COOPER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132303

License Status

NOT RENEWED

Business

Title

First Name

AMANDA

Middle

NICOLE

Last Name

COOPER

Business Name

AMANDA NICOLE COOPER MD

Original Issue Date

04/08/2013

Effective Date

07/09/2014

Expiration Date

07/31/2017

City

WHITEFISH BAY

State

Zip

53217

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017