WILLIAM KENT SCUPHAM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036028019

License Status

INACTIVE

Business

First Name

WILLIAM KENT

Last Name

SCUPHAM

Suffix

Business Name

WILLIAM KENT SCUPHAM MD

Original Issue Date

07/02/1947

Effective Date

07/02/1947

Expiration Date

07/31/1987

City

LAPORTE

State

Zip

46350

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006