CAROLINE S KIM KUPFER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

CAROLINE

Middle

Last Name

KIM KUPFER

Business Name

CAROLINE S KIM KUPFER

Original Issue Date

01/05/2011

Effective Date

07/30/2014

Expiration Date

07/31/2017

City

DUNLAP

State

Zip

61525

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017