STEPHEN B RUPP MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078814

License Status

INACTIVE

Business

First Name

STEPHEN B

Last Name

RUPP

Suffix

Business Name

STEPHEN B RUPP MD

Original Issue Date

05/05/1989

Effective Date

05/05/1989

Expiration Date

07/31/1990

City

GRAND RAPIDS

State

Zip

49505

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006