BENJAMIN MICHAEL COPLAN DO - Medical Doctor License in Illinois | # 036122961

BENJAMIN MICHAEL COPLAN DO

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122961

License Status

INACTIVE

Business

N

First Name

BENJAMIN

Middle

MICHAEL

Last Name

COPLAN

Suffix

DO

Business Name

BENJAMIN MICHAEL COPLAN DO

Original Issue Date

03/31/2009

Effective Date

03/31/2009

Expiration Date

07/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

04/07/2011