B KENT MAUPIN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055753

License Status

NOT RENEWED

Business

First Name

B KENT

Last Name

MAUPIN

Business Name

B KENT MAUPIN

Original Issue Date

09/23/1977

Effective Date

09/23/1977

Expiration Date

07/01/1982

City

EVANSTON

State

Zip

60207

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006