THERESA A KEPIC MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019128

License Status

EXPIRED

Business

First Name

THERESA

Middle

Last Name

KEPIC

Suffix

Business Name

THERESA A KEPIC MD

Original Issue Date

04/11/1986

Effective Date

04/11/1986

Expiration Date

04/01/1989

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006