OLIVIA RENEE COPELAN MD - Medical Doctor License in Illinois | # 125074552

OLIVIA RENEE COPELAN MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074552

License Status

CANCELLED

Business

N

Title

MD

First Name

OLIVIA

Middle

RENEE

Last Name

COPELAN

Business Name

OLIVIA RENEE COPELAN MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2024

State

IL

Specialty/Qualifier

Urology

Ever Disciplined

N

LastModifiedDate

05/23/2022