CARRIE LEE KOPALA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002659

License Status

ACTIVE

Business

First Name

CARRIE

Middle

LEE

Last Name

KOPALA

Business Name

CARRIE LEE KOPALA

Original Issue Date

11/10/2005

Effective Date

02/05/2026

Expiration Date

03/01/2028

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

02/05/2026