CHRISTA SUZANNE COOPER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****36

License Status

ACTIVE

Business

First Name

CHRISTA

Middle

SUZANNE

Last Name

COOPER

Business Name

CHRISTA SUZANNE COOPER

Original Issue Date

10/26/2012

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60647

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025