MELISSA DAWN KOOPMANN - Physician Assistant License in Illinois | # 085002310

MELISSA DAWN KOOPMANN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002310

License Status

NOT RENEWED

Business

N

First Name

MELISSA

Middle

DAWN

Last Name

KOOPMANN

Business Name

MELISSA DAWN KOOPMANN

Original Issue Date

09/01/2004

Effective Date

12/30/2019

Expiration Date

03/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022