OLIVIA RENEE COPELAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074552

License Status

CANCELLED

Business

Title

First Name

OLIVIA

Middle

RENEE

Last Name

COPELAN

Business Name

OLIVIA RENEE COPELAN MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2024

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

05/23/2022