JEFFREY WILLIAM KNUPPEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

CANCELLED

Business

First Name

JEFFREY

Middle

WILLIAM

Last Name

KNUPPEL

Suffix

Business Name

JEFFREY WILLIAM KNUPPEL MD

Original Issue Date

08/19/1999

Effective Date

08/19/1999

Expiration Date

07/31/2002

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006