THERESA A KEPIC MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

Last Name

KEPIC

Suffix

Business Name

THERESA A KEPIC MD

Original Issue Date

12/06/1989

Effective Date

12/06/1989

Expiration Date

07/31/2008

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017