License holder summary

PHYLLIS KOPPENHAVER is a Radiology Personnel - Auxiliary Person by Exam licensed to practice in Pennsylvania. The address on file for PHYLLIS KOPPENHAVER is COLLEGEVILLE PA 19426. This licensed professional license is current. The license was granted 10/15/1987.

Pennsylvania

Department of State

PHYLLIS KOPPENHAVER
Radiology Personnel - Auxiliary Person by Exam
License number
XL000017L
Date granted
10/15/1987
Class
Radiology Personnel - Auxiliary Person by Exam
Status
Active
Address
COLLEGEVILLE PA 19426
palicensing.org
ID 17396119
LAST UPDATED 2024-03-31 19:40:10 UTC

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