THEODORE JAMES KAPANJIE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100679

License Status

NOT RENEWED

Business

First Name

THEODORE

Middle

JAMES

Last Name

KAPANJIE

Suffix

Business Name

THEODORE JAMES KAPANJIE DO

Original Issue Date

07/15/1999

Effective Date

07/15/1999

Expiration Date

07/31/2002

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

08/14/2018

Case Number

2011001964

Action

Suspension

Discipline Start Date

01/24/2012

Discipline End Date

08/06/2018

Discipline Reason

after being disciplined by a sister-state resulting from a criminal conviction.