SUZANNE RUTH TRUPIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

First Name

SUZANNE RUTH

Last Name

TRUPIN

Suffix

Business Name

SUZANNE RUTH TRUPIN MD

Original Issue Date

09/30/2021

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61820

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2023