DIANE LUPOVICI Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065003

License Status

CANCELLED

Business

First Name

DIANE

Last Name

LUPOVICI

Business Name

DIANE LUPOVICI

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/23/2017

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

06/05/2014