D MICHAEL KAPILLA DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

CANCELLED

Business

First Name

D MICHAEL

Last Name

KAPILLA

Suffix

DDS

Business Name

D MICHAEL KAPILLA DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2002

City

HIGHLAND

State

Zip

62249

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005