CORLISS A RUPP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

CORLISS

Middle

Last Name

RUPP

Suffix

Business Name

CORLISS A RUPP MD

Original Issue Date

01/25/1988

Effective Date

01/25/1988

Expiration Date

07/31/1996

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006