THERESA A KEPIC MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076711

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

Last Name

KEPIC

Suffix

Business Name

THERESA A KEPIC MD

Original Issue Date

06/25/1988

Effective Date

07/30/2014

Expiration Date

07/31/2017

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

11/01/2017

Case Number

1988002365

Action

Probation

Discipline Start Date

06/20/1988

Discipline End Date

04/20/1989