CASEY GRANT SHUPE DO

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****09

ACTIVE

N

CASEY

GRANT

SHUPE

DO

CASEY GRANT SHUPE DO

08/25/2009

04/12/2023

07/31/2026

DES PLAINES

IL

60018

COOK

PRACTITIONER

II III IV V

N

04/12/2023