KEELY L COOK Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000551

License Status

INACTIVE

Business

First Name

KEELY

Middle

Last Name

COOK

Business Name

KEELY L COOK

Original Issue Date

08/20/1993

Effective Date

02/14/2014

Expiration Date

03/01/2016

City

SAINT LOUIS

State

Zip

63141

Ever Disciplined

LastModifiedDate

03/17/2016