KATHARYN D LUPO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138404

License Status

NOT RENEWED

Business

Title

First Name

KATHARYN

Middle

Last Name

LUPO

Business Name

KATHARYN D LUPO MD

Original Issue Date

06/22/2015

Effective Date

09/17/2020

Expiration Date

07/31/2023

City

WHEATON

State

Zip

60189

County

VIRGINIA

Ever Disciplined

LastModifiedDate

11/30/2023