DEMETRA V RUPP Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

First Name

DEMETRA

Middle

Last Name

RUPP

Business Name

DEMETRA V RUPP

Original Issue Date

06/25/2007

Effective Date

06/12/2023

Expiration Date

07/31/2026

City

WHEATON

State

Zip

60189

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/12/2023