DANIELLE MARIE KOPSTAIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004006

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

MARIE

Last Name

KOPSTAIN

Business Name

DANIELLE MARIE KOPSTAIN

Original Issue Date

03/08/2011

Effective Date

03/08/2011

Expiration Date

03/01/2012

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2012