STEPHEN J KUPERBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

Title

First Name

STEPHEN

Middle

Last Name

KUPERBERG

Business Name

STEPHEN J KUPERBERG MD

Original Issue Date

07/27/2017

Effective Date

07/27/2017

Expiration Date

09/30/2020

City

ELK GROVE VILLAGE

State

Zip

60007

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021