DIMITRI Y COUPET - Medical Doctor License in Illinois | # 125065880

DIMITRI Y COUPET

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065880

License Status

EXPIRED

Business

N

First Name

DIMITRI

Middle

Y

Last Name

COUPET

Business Name

DIMITRI Y COUPET

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/19/2017