BERNARD GLEN SCHUPBACH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053600

License Status

NOT RENEWED

Business

First Name

BERNARD GLEN

Last Name

SCHUPBACH

Suffix

Business Name

BERNARD GLEN SCHUPBACH MD

Original Issue Date

09/17/1976

Effective Date

04/28/2014

Expiration Date

07/31/2017

City

NORTH AURORA

State

Zip

60542

County

KANE

Ever Disciplined

LastModifiedDate

11/01/2017