THERESA KUPPY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

THERESA

Last Name

KUPPY

Suffix

Business Name

THERESA KUPPY MD

Original Issue Date

08/24/1987

Effective Date

08/03/2020

Expiration Date

07/31/2023

City

GLENVIEW

State

Zip

60026

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023