JEREMY LEE KLOPE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

CANCELLED

Business

First Name

JEREMY

Middle

LEE

Last Name

KLOPE

Suffix

Business Name

JEREMY LEE KLOPE MD

Original Issue Date

11/18/2008

Effective Date

11/18/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011