TIMOTHY KOPLIK HENDERSON MD - Medical Doctor License in Colorado | # 125072398

TIMOTHY KOPLIK HENDERSON MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072398

License Status

CANCELLED

Business

N

Title

MD

First Name

TIMOTHY

Middle

KOPLIK

Last Name

HENDERSON

Business Name

TIMOTHY KOPLIK HENDERSON MD

Original Issue Date

06/25/2018

Effective Date

06/25/2018

Expiration Date

06/24/2021

State

CO

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

04/24/2018