ALEXIA SHEALYNNE COPENHAVER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

Title

First Name

ALEXIA

Middle

SHEALYNNE

Last Name

COPENHAVER

Business Name

ALEXIA SHEALYNNE COPENHAVER MD

Original Issue Date

10/15/2019

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023