TIMOTHY KOPLIK HENDERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

Title

First Name

TIMOTHY

Middle

KOPLIK

Last Name

HENDERSON

Business Name

TIMOTHY KOPLIK HENDERSON MD

Original Issue Date

11/30/2020

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/14/2023