MOLLY ELIZABETH KOPACZ DDS - Dentist License in Illinois | # 021003014

MOLLY ELIZABETH KOPACZ DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021003014

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

MOLLY

Middle

ELIZABETH

Last Name

KOPACZ

Business Name

MOLLY ELIZABETH KOPACZ DDS

Original Issue Date

12/05/2019

Effective Date

12/05/2019

Expiration Date

01/31/2022

State

IL

Specialty/Qualifier

ENDODONTICS

Ever Disciplined

N

LastModifiedDate

05/09/2022