MARIANNE CATHERINE KRUPKA DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068654

License Status

CANCELLED

Business

Title

First Name

MARIANNE

Middle

CATHERINE

Last Name

KRUPKA

Business Name

MARIANNE CATHERINE KRUPKA DO

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

HUNTLEY

State

Zip

60142

County

MCHENRY

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

07/09/2018