KATHARYN D LUPO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

Title

First Name

KATHARYN

Middle

Last Name

LUPO

Business Name

KATHARYN D LUPO MD

Original Issue Date

06/22/2015

Effective Date

09/17/2020

Expiration Date

07/31/2023

City

WHEATON

State

Zip

60189

County

VIRGINIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023