JEFFREY D KOPIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

First Name

JEFFREY D

Last Name

KOPIN

Suffix

Business Name

JEFFREY D KOPIN MD

Original Issue Date

08/07/1985

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60645

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023