BERNARD GLEN SCHUPBACH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

BERNARD GLEN

Last Name

SCHUPBACH

Suffix

Business Name

BERNARD GLEN SCHUPBACH MD

Original Issue Date

07/30/1996

Effective Date

04/28/2014

Expiration Date

07/31/2017

City

AURORA

State

Zip

60506

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017