EDWARD STANLEY KAPUSTKA MD - Medical Doctor License in Wisconsin | # 036041088

EDWARD STANLEY KAPUSTKA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041088

License Status

NOT RENEWED

Business

N

First Name

EDWARD STANLEY

Last Name

KAPUSTKA

Suffix

MD

Business Name

EDWARD STANLEY KAPUSTKA MD

Original Issue Date

07/01/1967

Effective Date

07/01/1967

State

WI

Ever Disciplined

N

LastModifiedDate

09/20/2006