THERESA KUPPY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019646

License Status

EXPIRED

Business

First Name

THERESA

Last Name

KUPPY

Suffix

Business Name

THERESA KUPPY MD

Original Issue Date

06/19/1986

Effective Date

06/19/1986

Expiration Date

07/01/1989

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006