BASIL E KAPETANAKIS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112388

License Status

NOT RENEWED

Business

First Name

BASIL

Middle

Last Name

KAPETANAKIS

Business Name

BASIL E KAPETANAKIS

Original Issue Date

09/20/2004

Effective Date

10/12/2022

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023