License holder summary

Dr. MICHAEL Patrick COPPOLA is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. MICHAEL Patrick COPPOLA is 801 Cromwell Park Drive Suite 108 Glen Burnie MD 21061. This licensed professional license is current. The license was granted 09/18/2012 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

Dr. MICHAEL Patrick COPPOLA
Board Of Medicine
License number
M-11771
Date granted
09/18/2012
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
801 Cromwell Park Drive Suite 108 Glen Burnie MD 21061
idaholicensing.com
ID 48344226
LAST UPDATED 2024-02-19 08:36:11 UTC

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