KIMBERLEE COPPELLI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006743

License Status

ACTIVE

Business

First Name

KIMBERLEE

Last Name

COPPELLI

Business Name

KIMBERLEE COPPELLI

Original Issue Date

09/10/2018

Effective Date

01/01/2026

Expiration Date

03/01/2028

City

HAZELWOOD

State

Zip

63042

Ever Disciplined

LastModifiedDate

01/01/2026