ANGELA BLAS CUPELES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

BLAS

Last Name

CUPELES

Suffix

Business Name

ANGELA BLAS CUPELES MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006