ANGELA H SCHUPP MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027974

License Status

EXPIRED

Business

Title

First Name

ANGELA

Middle

Last Name

SCHUPP

Business Name

ANGELA H SCHUPP MD

Original Issue Date

05/07/1992

Effective Date

05/07/1992

Expiration Date

06/30/1995

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

09/22/2006