MICHAEL RICHARD KUPON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121897

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

RICHARD

Last Name

KUPON

Suffix

Business Name

MICHAEL RICHARD KUPON DO

Original Issue Date

09/03/2008

Effective Date

09/03/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011