MICHAEL T CAPPELLO DO - Medical Doctor License in Illinois | # 125044991

MICHAEL T CAPPELLO DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044991

License Status

EXPIRED

Business

N

First Name

MICHAEL

Middle

T

Last Name

CAPPELLO

Suffix

DO

Business Name

MICHAEL T CAPPELLO DO

Original Issue Date

06/27/2002

Effective Date

06/27/2002

Expiration Date

06/26/2005

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

09/22/2006