LISA MARIE RUPPERT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125198

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MARIE

Last Name

RUPPERT

Suffix

Business Name

LISA MARIE RUPPERT MD

Original Issue Date

03/15/2010

Effective Date

05/02/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014