MICHAEL R UPHUES DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032540

License Status

EXPIRED

Business

First Name

MICHAEL R

Last Name

UPHUES

Suffix

Business Name

MICHAEL R UPHUES DO

Original Issue Date

05/15/1995

Effective Date

05/15/1995

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006