VINCENT MICHAEL TUPPER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062056

License Status

CANCELLED

Business

Title

First Name

VINCENT

Middle

MICHAEL

Last Name

TUPPER

Business Name

VINCENT MICHAEL TUPPER MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pain Medicine

Ever Disciplined

LastModifiedDate

03/01/2016