DAVID T CAPPETTA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000008

License Status

NOT RENEWED

Business

First Name

DAVID T

Last Name

CAPPETTA

Suffix

DMD

Business Name

DAVID T CAPPETTA DMD

Original Issue Date

05/30/1990

Effective Date

05/30/1990

Expiration Date

12/31/1991

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/13/2005