MALCOLM SHUPECK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138604

License Status

NOT RENEWED

Business

Title

First Name

MALCOLM

Last Name

SHUPECK

Business Name

MALCOLM SHUPECK MD

Original Issue Date

07/08/2015

Effective Date

06/15/2017

Expiration Date

09/30/2020

City

CINCINNATI

State

Zip

45213

County

OHIO

Ever Disciplined

LastModifiedDate

01/14/2021