Indiana
Professional Licensing Agency
RICHARD KENT SCUPHAM
Physician
License number
01034318A
Date granted
05/16/1985
Date expires
06/30/1987
Class
Physician
Status
Expired Non-Renewable
Address
LAPORTE IN 46350
indianalicensing.org
ID 6067599
LAST UPDATED 2024-04-13 18:14:29 UTC
LAST UPDATED 2024-04-13 18:14:29 UTC
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