DEMETRA V RUPP Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115634

License Status

ACTIVE

Business

First Name

DEMETRA

Middle

Last Name

RUPP

Business Name

DEMETRA V RUPP

Original Issue Date

04/05/2006

Effective Date

06/12/2023

Expiration Date

07/31/2026

City

WHEATON

State

Zip

60189

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/12/2023