CORLISS A RUPP MD - Medical Doctor License in Georgia | # 036076534

CORLISS A RUPP MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076534

License Status

INACTIVE

Business

N

First Name

CORLISS

Middle

A

Last Name

RUPP

Suffix

MD

Business Name

CORLISS A RUPP MD

Original Issue Date

01/06/1988

Effective Date

01/06/1988

Expiration Date

07/31/1996

State

GA

Ever Disciplined

N

LastModifiedDate

09/02/2011