GREGORY LAWRENCE COOPER DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005050

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

LAWRENCE

Last Name

COOPER

Suffix

DPM

Business Name

GREGORY LAWRENCE COOPER DPM

Original Issue Date

10/09/2001

Effective Date

01/05/2015

Expiration Date

01/31/2017

City

LA JOLLA

State

Zip

92037

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

03/27/2017