DOUGLAS EDWARD COPLEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

Title

First Name

DOUGLAS

Middle

EDWARD

Last Name

COPLEN

Business Name

DOUGLAS EDWARD COPLEN MD

Original Issue Date

04/15/2014

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023