NATALIE J COOPER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****49

License Status

NOT RENEWED

Business

First Name

NATALIE

Middle

Last Name

COOPER

Business Name

NATALIE J COOPER

Original Issue Date

12/17/2007

Effective Date

12/17/2007

Expiration Date

03/01/2010

City

PARK CITY

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

04/01/2009