ROGER STUPP MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141727

License Status

ACTIVE

Business

Title

First Name

ROGER

Last Name

STUPP

Business Name

ROGER STUPP MD

Original Issue Date

09/20/2016

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2023