WILLIAM KENT SCUPHAM MD - Medical Doctor License in Indiana | # 036028019

WILLIAM KENT SCUPHAM MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036028019

License Status

INACTIVE

Business

N

First Name

WILLIAM KENT

Last Name

SCUPHAM

Suffix

MD

Business Name

WILLIAM KENT SCUPHAM MD

Original Issue Date

07/02/1947

Effective Date

07/02/1947

Expiration Date

07/31/1987

State

IN

Ever Disciplined

N

LastModifiedDate

09/20/2006