THEODORE KRUPIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079317

License Status

NOT RENEWED

Business

First Name

THEODORE

Last Name

KRUPIN

Suffix

Business Name

THEODORE KRUPIN MD

Original Issue Date

08/11/1989

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014