MALIE KAY KOPPLIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034703

License Status

EXPIRED

Business

First Name

MALIE

Middle

KAY

Last Name

KOPPLIN

Suffix

Business Name

MALIE KAY KOPPLIN MD

Original Issue Date

05/23/1996

Effective Date

05/23/1996

Expiration Date

06/23/1999

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006