DAVID R KOPACZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

First Name

DAVID

Middle

Last Name

KOPACZ

Suffix

Business Name

DAVID R KOPACZ MD

Original Issue Date

08/30/1999

Effective Date

09/02/2025

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61824

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2011