POLINA KUPRIEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066136

License Status

CANCELLED

Business

Title

First Name

POLINA

Last Name

KUPRIEN

Business Name

POLINA KUPRIEN MD

Original Issue Date

06/27/2015

Effective Date

06/27/2015

Expiration Date

06/26/2018

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

01/08/2015