LUCAS ADRIAAN ANTON COPPES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068422

License Status

EXPIRED

Business

Title

First Name

LUCAS

Middle

ADRIAAN ANTON

Last Name

COPPES

Business Name

LUCAS ADRIAAN ANTON COPPES MD

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2020

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

11/19/2020