ROGER STUPP Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027521

License Status

EXPIRED

Business

First Name

ROGER

Last Name

STUPP

Business Name

ROGER STUPP

Original Issue Date

08/21/1991

Effective Date

08/21/1991

Expiration Date

08/19/1994

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Hematology

Ever Disciplined

LastModifiedDate

09/22/2006