NICHOLE SUZANNE LUPEI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129544

License Status

ACTIVE

Business

Title

First Name

NICHOLE

Middle

SUZANNE

Last Name

LUPEI

Business Name

NICHOLE SUZANNE LUPEI DO

Original Issue Date

02/01/2012

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2023