JAY STUART COPELAND MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

INOPERATIVE

Business

Title

First Name

JAY

Middle

STUART

Last Name

COPELAND

Business Name

JAY STUART COPELAND MD

Original Issue Date

04/29/2022

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/10/2023