CAROLINE S KIM KUPFER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127047

License Status

NOT RENEWED

Business

First Name

CAROLINE

Middle

Last Name

KIM KUPFER

Business Name

CAROLINE S KIM KUPFER

Original Issue Date

01/05/2011

Effective Date

07/30/2014

Expiration Date

07/31/2017

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

11/01/2017