ERIC NEAL KUPCHICK DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044202

License Status

EXPIRED

Business

First Name

ERIC

Middle

NEAL

Last Name

KUPCHICK

Suffix

Business Name

ERIC NEAL KUPCHICK DO

Original Issue Date

05/01/2002

Effective Date

05/01/2002

Expiration Date

06/23/2005

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006