KEITH ALAN LOPATKA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

First Name

KEITH

Middle

ALAN

Last Name

LOPATKA

Suffix

Business Name

KEITH ALAN LOPATKA MD

Original Issue Date

05/31/2005

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023