TIMOTHY KOPLIK HENDERSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072398

License Status

CANCELLED

Business

Title

First Name

TIMOTHY

Middle

KOPLIK

Last Name

HENDERSON

Business Name

TIMOTHY KOPLIK HENDERSON MD

Original Issue Date

06/25/2018

Effective Date

06/25/2018

Expiration Date

06/24/2021

City

WHEAT RIDGE

State

Zip

80033

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/24/2018