MICHAEL PATRICK COPPOLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131678

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

PATRICK

Last Name

COPPOLA

Business Name

MICHAEL PATRICK COPPOLA MD

Original Issue Date

11/02/2012

Effective Date

06/16/2020

Expiration Date

07/31/2023

City

GLEN BURNIE

State

Zip

21061

County

MARYLAND

Ever Disciplined

LastModifiedDate

11/30/2023