SUJAYA P RUPANI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

SUJAYA P

Last Name

RUPANI

Suffix

Business Name

SUJAYA P RUPANI MD

Original Issue Date

12/27/1983

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

BOLINGBROOK

State

Zip

60440

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021