MATTHEW A KOPPLIN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034633

License Status

EXPIRED

Business

First Name

MATTHEW

Middle

Last Name

KOPPLIN

Business Name

MATTHEW A KOPPLIN

Original Issue Date

05/21/1996

Effective Date

05/21/1996

Expiration Date

06/23/2001

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006