WAYNE E COOPER Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****00

License Status

ACTIVE

Business

First Name

WAYNE E

Last Name

COOPER

Business Name

WAYNE E COOPER

Original Issue Date

05/06/1982

Effective Date

01/12/2025

Expiration Date

01/31/2027

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/12/2025