KYLE DOUGLAS KOPATICH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070929

License Status

EXPIRED

Business

Title

First Name

KYLE

Middle

DOUGLAS

Last Name

KOPATICH

Business Name

KYLE DOUGLAS KOPATICH DO

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/19/2020