TOMMY E CUPPLES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

TOMMY E

Last Name

CUPPLES

Suffix

Business Name

TOMMY E CUPPLES MD

Original Issue Date

09/19/1990

Effective Date

09/19/1990

Expiration Date

07/31/1996

City

ANNA

State

Zip

62906

County

UNION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006