FABIOLLA SIQUEIRA KOPP MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

First Name

FABIOLLA

Middle

SIQUEIRA

Last Name

KOPP

Suffix

Business Name

FABIOLLA SIQUEIRA KOPP MD

Original Issue Date

10/01/2018

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/12/2023