MICHAEL RICHARD KUPON DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049217

License Status

CANCELLED

Business

First Name

MICHAEL

Middle

RICHARD

Last Name

KUPON

Suffix

Business Name

MICHAEL RICHARD KUPON DO

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2009

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

06/23/2008