License holder summary

Jeffrey Charles Cooper is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jeffrey Charles Cooper is Lafayette Clinic of Urology, 1345 Unity Pl. Ste 110 P O Box 4699, Lafayette IN 47905. This licensed professional license is current. The license was granted 05/25/1995 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Jeffrey Charles Cooper
Controlled Substance Registration - Physician
License number
01043721B
Date granted
05/25/1995
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Lafayette Clinic of Urology, 1345 Unity Pl. Ste 110 P O Box 4699, Lafayette IN 47905
indianalicensing.org
ID 5879751
LAST UPDATED 2024-02-07 11:05:53 UTC

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