NATALIE J COOPER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002849

License Status

NOT RENEWED

Business

First Name

NATALIE

Middle

Last Name

COOPER

Business Name

NATALIE J COOPER

Original Issue Date

10/16/2006

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

WADSWORTH

State

Zip

60083

County

LAKE

Ever Disciplined

LastModifiedDate

09/23/2010