JARED DAVID CAPOUYA MD - Medical Doctor License in Illinois | # 036117317

JARED DAVID CAPOUYA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117317

License Status

NOT RENEWED

Business

N

First Name

JARED

Middle

DAVID

Last Name

CAPOUYA

Suffix

MD

Business Name

JARED DAVID CAPOUYA MD

Original Issue Date

12/14/2006

Effective Date

12/14/2006

Expiration Date

07/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

11/06/2008