WYATT ISAAC KUPPERMAN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068931

License Status

EXPIRED

Business

Title

First Name

WYATT

Middle

ISAAC

Last Name

KUPPERMAN

Business Name

WYATT ISAAC KUPPERMAN DO

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

10/02/2019