SHELBY KEVIN KOPP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

SHELBY KEVIN

Last Name

KOPP

Suffix

Business Name

SHELBY KEVIN KOPP MD

Original Issue Date

05/16/1994

Effective Date

05/16/1994

Expiration Date

07/31/2008

City

MARYLAND HEIGHTS

State

Zip

63043

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011