Cooper Brian Stacey
Physician
Indiana 01049622A Expired Non-Renewable
This Indiana license was held by Cooper Brian Stacey. The license is no longer active. It was granted on 10/06/1998 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01049622A
- Category: Physician
- Status: Expired Non-Renewable
- Date Granted: 10/06/1998 (over 26 years ago)
- Expiry Date: 06/30/2003 (almost 22 years ago)
LOCATIONS
A Address
West Lafayette IN 47906