AMANDA JO KOPS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004619

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

KOPS

Business Name

AMANDA JO KOPS

Original Issue Date

02/21/2013

Effective Date

02/21/2013

Expiration Date

03/01/2014

City

SPENCER

State

Zip

54479

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/08/2014