LISA ANN KOPP DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098113

License Status

INACTIVE

Business

First Name

LISA

Middle

ANN

Last Name

KOPP

Suffix

Business Name

LISA ANN KOPP DO

Original Issue Date

06/29/1998

Effective Date

06/29/1998

Expiration Date

07/31/2005

City

DAVENPORT

State

Zip

52807

County

IOWA

Ever Disciplined

LastModifiedDate

10/09/2006