TARA COPPER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159799

License Status

ACTIVE

Business

Title

First Name

TARA

Last Name

COPPER

Business Name

TARA COPPER MD

Original Issue Date

03/15/2022

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

06/24/2023