SHAUN KOPARAN ROCHE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075207

License Status

EXPIRED

Business

Title

First Name

SHAUN

Middle

KOPARAN

Last Name

ROCHE

Business Name

SHAUN KOPARAN ROCHE MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

10/11/2022