MIRA B KUPISEK - Medical Doctor License in Florida | # 036078086

MIRA B KUPISEK

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078086

License Status

NOT RENEWED

Business

N

First Name

MIRA B

Last Name

KUPISEK

Business Name

MIRA B KUPISEK

Original Issue Date

10/26/1988

Effective Date

04/17/2008

Expiration Date

07/31/2011

State

FL

Ever Disciplined

N

LastModifiedDate

11/14/2011