MYRNA R LUPENA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067555

License Status

NOT RENEWED

Business

First Name

MYRNA R

Last Name

LUPENA

Suffix

Business Name

MYRNA R LUPENA MD

Original Issue Date

08/31/1983

Effective Date

06/02/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014