MICHAEL PEREZ CAPAN MD - Medical Doctor License in Illinois | # 125041973

MICHAEL PEREZ CAPAN MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041973

License Status

EXPIRED

Business

N

First Name

MICHAEL

Middle

PEREZ

Last Name

CAPAN

Suffix

MD

Business Name

MICHAEL PEREZ CAPAN MD

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2003

State

IL

Specialty/Qualifier

Psychiatry

Ever Disciplined

N

LastModifiedDate

09/22/2006