JOHN PETER OPILKA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034664

License Status

EXPIRED

Business

Title

First Name

JOHN

Middle

PETER

Last Name

OPILKA

Business Name

JOHN PETER OPILKA DO

Original Issue Date

05/23/1996

Effective Date

05/23/1996

Expiration Date

06/30/1999

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006