SHELLY NAVATO CAPPS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

Title

First Name

SHELLY

Middle

NAVATO

Last Name

CAPPS

Business Name

SHELLY NAVATO CAPPS MD

Original Issue Date

08/05/2019

Effective Date

08/05/2019

Expiration Date

09/30/2020

City

PHOENIX

State

Zip

85048

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021