PATRIZIO CAPASSO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104533

License Status

NOT RENEWED

Business

First Name

PATRIZIO

Last Name

CAPASSO

Suffix

Business Name

PATRIZIO CAPASSO MD

Original Issue Date

04/13/2001

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/14/2011