DONNA DELIA URLANDA ASUPAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068399

License Status

EXPIRED

Business

Title

First Name

DONNA

Middle

DELIA URLANDA

Last Name

ASUPAN

Business Name

DONNA DELIA URLANDA ASUPAN MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/02/2019