RICHARD KOPOLOVIC MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013365

License Status

EXPIRED

Business

First Name

RICHARD

Last Name

KOPOLOVIC

Suffix

Business Name

RICHARD KOPOLOVIC MD

Original Issue Date

07/24/1981

Effective Date

07/24/1981

Expiration Date

07/01/1983

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006