VINCENT MICHAEL TUPPER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

Title

First Name

VINCENT

Middle

MICHAEL

Last Name

TUPPER

Business Name

VINCENT MICHAEL TUPPER MD

Original Issue Date

01/26/2017

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2023