KAP J NO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065049

License Status

NOT RENEWED

Business

First Name

KAP J

Last Name

Suffix

Business Name

KAP J NO MD

Original Issue Date

08/11/1982

Effective Date

05/20/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023