CATHERINE MARIE BOPP Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****12

License Status

NOT RENEWED

Business

First Name

CATHERINE

Middle

MARIE

Last Name

BOPP

Business Name

CATHERINE MARIE BOPP

Original Issue Date

10/12/2019

Effective Date

01/15/2022

Expiration Date

03/01/2024

City

ROCKFORD

State

Zip

61107

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025