LAURA RICHARDS CAPATI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002497

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

RICHARDS

Last Name

CAPATI

Suffix

DMD

Business Name

LAURA RICHARDS CAPATI DMD

Original Issue Date

10/30/2012

Effective Date

10/30/2012

Expiration Date

09/30/2015

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Specialty/Qualifier

PERIODONTICS

Ever Disciplined

LastModifiedDate

02/08/2016