PAUL GARY KOPPANG Perfusionist License verification

Business Entity

NOT RENEWED

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000154

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

GARY

Last Name

KOPPANG

Business Name

PAUL GARY KOPPANG

Original Issue Date

02/26/2003

Effective Date

04/29/2016

Expiration Date

04/30/2018

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/19/2018