SPENCER SUPPES DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161712

License Status

ACTIVE

Business

Title

First Name

SPENCER

Last Name

SUPPES

Business Name

SPENCER SUPPES DO

Original Issue Date

07/28/2022

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2023