EBONY ROSE COPELAND MD - Medical Doctor License in Illinois | # 036129405

EBONY ROSE COPELAND MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129405

License Status

NOT RENEWED

Business

N

Title

MD

First Name

EBONY

Middle

ROSE

Last Name

COPELAND

Business Name

EBONY ROSE COPELAND MD

Original Issue Date

12/27/2011

Effective Date

12/27/2011

Expiration Date

07/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

08/05/2021