ANGELA BLAS CUPELES MD Medical Doctor License verification

ANGELA BLAS CUPELES MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061809

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

BLAS

Last Name

CUPELES

Suffix

Business Name

ANGELA BLAS CUPELES MD

Original Issue Date

02/27/1981

Effective Date

02/27/1981

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

12/15/2006

Case Number

2002010521

Action

Suspension

Discipline Start Date

07/20/2004

Discipline Reason

Failed to undergo a board ordered mental and physical examination and failed to release medical records in a timely manner as requested by a patient's attorney.