SUSAN M LUPO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024946

License Status

EXPIRED

Business

First Name

SUSAN M

Last Name

LUPO

Suffix

Business Name

SUSAN M LUPO MD

Original Issue Date

05/22/1990

Effective Date

05/22/1990

Expiration Date

06/30/1993

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006