SEAN W KOPPE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111498

License Status

ACTIVE

Business

First Name

SEAN

Middle

Last Name

KOPPE

Suffix

Business Name

SEAN W KOPPE MD

Original Issue Date

05/27/2004

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

06/15/2023