KEITH ALAN LOPATKA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113547

License Status

ACTIVE

Business

First Name

KEITH

Middle

ALAN

Last Name

LOPATKA

Suffix

Business Name

KEITH ALAN LOPATKA MD

Original Issue Date

04/25/2005

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

05/29/2024