CORLISS A RUPP MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019941

License Status

EXPIRED

Business

First Name

CORLISS

Middle

Last Name

RUPP

Suffix

Business Name

CORLISS A RUPP MD

Original Issue Date

06/30/1986

Effective Date

06/30/1986

Expiration Date

06/23/1989

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006