MIRA B KUPISEK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020599

License Status

EXPIRED

Business

First Name

MIRA B

Last Name

KUPISEK

Business Name

MIRA B KUPISEK

Original Issue Date

05/02/1987

Effective Date

05/02/1987

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60660

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006