JOEL WAYNE COOTS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****64

License Status

NOT RENEWED

Business

First Name

JOEL

Middle

WAYNE

Last Name

COOTS

Business Name

JOEL WAYNE COOTS

Original Issue Date

11/10/2011

Effective Date

02/29/2012

Expiration Date

03/01/2014

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

08/15/2014