EMILY SUZANNE KOPEC DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002095

License Status

EXPIRED

Business

Title

DDS

First Name

EMILY

Middle

SUZANNE

Last Name

KOPEC

Business Name

EMILY SUZANNE KOPEC DDS

Original Issue Date

01/16/2019

Effective Date

01/31/2019

Expiration Date

06/30/2021

City

ALTON

State

Zip

62002

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

11/28/2022