AMANDA JO KOPS - Physician Assistant License in Wisconsin | # 085004619

AMANDA JO KOPS

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004619

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

JO

Last Name

KOPS

Business Name

AMANDA JO KOPS

Original Issue Date

02/21/2013

Effective Date

02/21/2013

Expiration Date

03/01/2014

State

WI

Ever Disciplined

N

LastModifiedDate

04/08/2014