KEVIN D CAPPELEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

NOT RENEWED

Business

First Name

KEVIN D

Last Name

CAPPELEN

Suffix

DDS

Business Name

KEVIN D CAPPELEN DDS

Original Issue Date

08/27/1997

Effective Date

08/27/1997

Expiration Date

09/30/2000

City

WAUKEGAN

State

Zip

60085

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005