MYRNA R LUPENA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013630

License Status

EXPIRED

Business

First Name

MYRNA R

Last Name

LUPENA

Suffix

Business Name

MYRNA R LUPENA MD

Original Issue Date

12/30/1981

Effective Date

12/30/1981

Expiration Date

12/16/1983

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006