MILES ALBERT KRUPKA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053576

License Status

INACTIVE

Business

First Name

MILES ALBERT

Last Name

KRUPKA

Suffix

Business Name

MILES ALBERT KRUPKA MD

Original Issue Date

09/17/1976

Effective Date

09/17/1976

Expiration Date

07/31/1987

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006