GRETCHEN LEEANN KOPEC MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

Title

First Name

GRETCHEN

Middle

LEEANN

Last Name

KOPEC

Business Name

GRETCHEN LEEANN KOPEC MD

Original Issue Date

04/17/2019

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

EDWARDS

State

Zip

61528

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023