ELISABETH MARIE COOPER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002643

License Status

NOT RENEWED

Business

First Name

ELISABETH

Middle

MARIE

Last Name

COOPER

Business Name

ELISABETH MARIE COOPER

Original Issue Date

10/25/2005

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

CHICAGO

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

09/23/2010