RAFAEL EUGENIO COPLIN REYNOSO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155263

License Status

ACTIVE

Business

Title

First Name

RAFAEL

Middle

EUGENIO

Last Name

COPLIN REYNOSO

Business Name

RAFAEL EUGENIO COPLIN REYNOSO MD

Original Issue Date

01/11/2021

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

HUNTINGTON

State

Zip

25701

Ever Disciplined

LastModifiedDate

07/22/2023