GLYNIS M KOPONEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031660

License Status

EXPIRED

Business

First Name

GLYNIS

Middle

Last Name

KOPONEN

Business Name

GLYNIS M KOPONEN

Original Issue Date

06/02/1994

Effective Date

06/02/1994

Expiration Date

06/04/1995

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006