RICHARD T COPPOLETTI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

First Name

RICHARD T

Last Name

COPPOLETTI

Suffix

Business Name

RICHARD T COPPOLETTI MD

Original Issue Date

12/07/1981

Effective Date

07/16/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/16/2023