STEPHEN J KUPERBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143490

License Status

NOT RENEWED

Business

Title

First Name

STEPHEN

Middle

Last Name

KUPERBERG

Business Name

STEPHEN J KUPERBERG MD

Original Issue Date

06/14/2017

Effective Date

06/14/2017

Expiration Date

09/30/2020

City

ELK GROVE VILLAGE

State

Zip

60007

County

NEW YORK

Ever Disciplined

LastModifiedDate

01/14/2021