ERIN K KOPENY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****05

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

Last Name

KOPENY

Business Name

ERIN K KOPENY

Original Issue Date

05/14/2020

Effective Date

05/14/2020

Expiration Date

03/01/2022

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022