| | Physician Last Name: | Cooper |
| | Physician First Name: | Neil |
| | Physician Middle Name: | |
| | Address: | 2881 St. Claire Road
Winston-Salem, North Carolina 27106 |
| | License Number: | 003707 |
| | License Type: | PA |
| | Year of Birth: |
1951
|
| | Effective Date: | 04/24/2003 |
| | Action Description for DOH Webpage: | License surrender |
| | Misconduct Description for DOH Webpage: | The physician assistant did not contest the charge of having his application for a physician assistant license denied by the North Carolina State Medical Board for falsely answering some questions on the application. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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