EBONY ROSE COPELAND MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129405

License Status

NOT RENEWED

Business

Title

First Name

EBONY

Middle

ROSE

Last Name

COPELAND

Business Name

EBONY ROSE COPELAND MD

Original Issue Date

12/27/2011

Effective Date

12/27/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

08/05/2021