RICHARD K SCUPHAM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073095

License Status

INACTIVE

Business

First Name

RICHARD K

Last Name

SCUPHAM

Suffix

Business Name

RICHARD K SCUPHAM MD

Original Issue Date

07/03/1986

Effective Date

07/03/1986

Expiration Date

07/31/1987

City

LAPORTE

State

Zip

46350

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006