MELISSA DAWN KOOPMANN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****25

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

DAWN

Last Name

KOOPMANN

Business Name

MELISSA DAWN KOOPMANN

Original Issue Date

01/06/2005

Effective Date

12/30/2019

Expiration Date

03/01/2022

City

WHEATON

State

Zip

60189

County

DUPAGE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022