LEWIS TRUPIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037130

License Status

NOT RENEWED

Business

First Name

LEWIS

Last Name

TRUPIN

Suffix

Business Name

LEWIS TRUPIN MD

Original Issue Date

03/03/1961

Effective Date

03/03/1961

Expiration Date

07/31/1999

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/20/2006