DANIELLE MARIE COOPER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007164

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

MARIE

Last Name

COOPER

Business Name

DANIELLE MARIE COOPER

Original Issue Date

08/12/2019

Effective Date

08/12/2019

Expiration Date

03/01/2020

City

ARNOLD

State

Zip

63010

Ever Disciplined

LastModifiedDate

11/24/2020