ALEXIA SHEALYNNE COPENHAVER MD - Medical Doctor License in Illinois | # 125071323

ALEXIA SHEALYNNE COPENHAVER MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071323

License Status

CANCELLED

Business

N

Title

MD

First Name

ALEXIA

Middle

SHEALYNNE

Last Name

COPENHAVER

Business Name

ALEXIA SHEALYNNE COPENHAVER MD

Original Issue Date

06/24/2017

Effective Date

06/24/2017

Expiration Date

06/23/2020

State

IL

Specialty/Qualifier

Psychiatry

Ever Disciplined

N

LastModifiedDate

05/24/2017