MOLLY ELIZABETH KOPACZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

NOT RENEWED

Business

Title

DDS

First Name

MOLLY

Middle

ELIZABETH

Last Name

KOPACZ

Business Name

MOLLY ELIZABETH KOPACZ DDS

Original Issue Date

08/21/2019

Effective Date

08/21/2019

Expiration Date

01/31/2022

City

WHEELING

State

Zip

60090

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022