MICHAEL ANDREW KOPEC MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

ANDREW

Last Name

KOPEC

Business Name

MICHAEL ANDREW KOPEC MD

Original Issue Date

04/23/2014

Effective Date

05/08/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021