Michael Richard Kupon

Controlled Substance Registration-Osteopathic Physician

Indiana  02003426B   Active

This Indiana license is held by Michael Richard Kupon. The license is currently active. It was granted on 10/08/2008 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 02003426B
  • Category: CSR-Osteopathic Physician
  • Status: Active
  • Date Granted: 10/08/2008 (over 17 years ago)
  • Expiry Date: 10/31/2015 (over 10 years ago)

LOCATIONS

A Address

3652 Rome Drive, Suite A, Lafayette IN 47905