LAWRENCE ROBERT KOPSICK DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072591

License Status

EXPIRED

Business

Title

First Name

LAWRENCE

Middle

ROBERT

Last Name

KOPSICK

Business Name

LAWRENCE ROBERT KOPSICK DO

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

10/11/2022