ELIZABETH A SCHUPP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

ELIZABETH A

Last Name

SCHUPP

Suffix

Business Name

ELIZABETH A SCHUPP MD

Original Issue Date

06/14/2010

Effective Date

04/12/2011

Expiration Date

07/31/2014

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020