SCOTT MICHAEL GRUPAS DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****55

NOT RENEWED

N

SCOTT

MICHAEL

GRUPAS

DO

SCOTT MICHAEL GRUPAS DO

12/14/2006

04/17/2008

07/31/2011

GOREVILLE

IL

62939

JOHNSON

PRACTITIONER

II III IV V

N

11/10/2011