TIMOTHY WALLACE CAPRIO MD - Medical Doctor License in Illinois | # 125056605

TIMOTHY WALLACE CAPRIO MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056605

License Status

CANCELLED

Business

N

Title

MD

First Name

TIMOTHY

Middle

WALLACE

Last Name

CAPRIO

Business Name

TIMOTHY WALLACE CAPRIO MD

Original Issue Date

06/23/2009

Effective Date

06/23/2009

Expiration Date

06/22/2012

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

04/06/2009