CAROLINE L KOPPI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033914

License Status

EXPIRED

Business

First Name

CAROLINE L

Last Name

KOPPI

Suffix

Business Name

CAROLINE L KOPPI MD

Original Issue Date

08/26/1995

Effective Date

08/26/1995

Expiration Date

08/24/1997

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006