The holder whose full name is Cooper, Carolyn Booker,come from West Lafayette IN,hold the Medical Residency Permit license(NO.11006479A) which status is Expired.
| Name | Cooper, Carolyn Booker |
|---|---|
| License Number | 11006479A |
| License Type | Medical Residency Permit |
| License Status | Expired |
| City | West Lafayette |
| State | IN |