ROBERT JUPITER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074507

License Status

CANCELLED

Business

Title

First Name

ROBERT

Last Name

JUPITER

Business Name

ROBERT JUPITER MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/08/2019