CHRISTIAN CAPANNA MD - Medical Doctor License in Illinois | # 125073037

CHRISTIAN CAPANNA MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073037

License Status

CANCELLED

Business

N

Title

MD

First Name

CHRISTIAN

Last Name

CAPANNA

Business Name

CHRISTIAN CAPANNA MD

Original Issue Date

06/25/2018

Effective Date

06/25/2018

Expiration Date

06/24/2021

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

05/29/2018