JAKE RYAN KOPLOWITZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076805

License Status

EXPIRED

Business

Title

First Name

JAKE

Middle

RYAN

Last Name

KOPLOWITZ

Business Name

JAKE RYAN KOPLOWITZ MD

Original Issue Date

06/24/2020

Effective Date

06/24/2020

Expiration Date

06/23/2023

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/06/2024