LAURA RICHARDS CAPATI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

RICHARDS

Last Name

CAPATI

Suffix

DMD

Business Name

LAURA RICHARDS CAPATI DMD

Original Issue Date

09/24/2008

Effective Date

09/13/2012

Expiration Date

09/30/2015

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016