FREDERICK R KUPFER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000820

License Status

NOT RENEWED

Business

First Name

FREDERICK R

Last Name

KUPFER

Business Name

FREDERICK R KUPFER

Original Issue Date

10/04/1996

Effective Date

10/04/1996

Expiration Date

03/01/2000

City

LA MESA

State

Zip

91941

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/26/2006