CARLY E COOPER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****97

License Status

ACTIVE

Business

First Name

CARLY

Middle

Last Name

COOPER

Business Name

CARLY E COOPER

Original Issue Date

12/01/2023

Effective Date

02/10/2026

Expiration Date

03/01/2028

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/10/2026