DAWN KUPISH MCCOY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

First Name

DAWN

Middle

KUPISH

Last Name

MCCOY

Suffix

Business Name

DAWN KUPISH MCCOY MD

Original Issue Date

08/29/2003

Effective Date

05/03/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2023