CATHERINE MARIE BOPP Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007148

License Status

NOT RENEWED

Business

First Name

CATHERINE

Middle

MARIE

Last Name

BOPP

Business Name

CATHERINE MARIE BOPP

Original Issue Date

08/02/2019

Effective Date

01/15/2022

Expiration Date

03/01/2024

City

ROCKFORD

State

Zip

61107

Ever Disciplined

LastModifiedDate

02/05/2025