UMA D SOPORI 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

UMA D

Last Name

SOPORI

Suffix

Business Name

UMA D SOPORI MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006