MOLLY ELIZABETH KOPACZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021003014

License Status

NOT RENEWED

Business

Title

DDS

First Name

MOLLY

Middle

ELIZABETH

Last Name

KOPACZ

Business Name

MOLLY ELIZABETH KOPACZ DDS

Original Issue Date

12/05/2019

Effective Date

12/05/2019

Expiration Date

01/31/2022

City

GREAT LAKES

State

Zip

60088

County

LAKE

Specialty/Qualifier

ENDODONTICS

Ever Disciplined

LastModifiedDate

05/09/2022