CORLISS A RUPP MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076534

License Status

INACTIVE

Business

First Name

CORLISS

Middle

Last Name

RUPP

Suffix

Business Name

CORLISS A RUPP MD

Original Issue Date

01/06/1988

Effective Date

01/06/1988

Expiration Date

07/31/1996

City

SNELLVILLE

State

Zip

30078

Ever Disciplined

LastModifiedDate

09/02/2011