BENJAMIN MICHAEL COPLAN DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122961

License Status

INACTIVE

Business

First Name

BENJAMIN

Middle

MICHAEL

Last Name

COPLAN

Suffix

Business Name

BENJAMIN MICHAEL COPLAN DO

Original Issue Date

03/31/2009

Effective Date

03/31/2009

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2011