GEORGE R KAPUSTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047680

License Status

NOT RENEWED

Business

First Name

GEORGE R

Last Name

KAPUSTA

Suffix

Business Name

GEORGE R KAPUSTA MD

Original Issue Date

08/17/1973

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021