DAVID L COPPEDGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052476

License Status

NOT RENEWED

Business

First Name

DAVID L

Last Name

COPPEDGE

Suffix

Business Name

DAVID L COPPEDGE MD

Original Issue Date

03/26/1976

Effective Date

03/26/1976

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006