THOMAS C KUPKA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075445

License Status

NOT RENEWED

Business

First Name

THOMAS C

Last Name

KUPKA

Suffix

Business Name

THOMAS C KUPKA MD

Original Issue Date

07/13/1987

Effective Date

07/13/1987

Expiration Date

07/31/1999

City

MESA

State

Zip

85202

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006