KENT STEPHEN KAPITAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112857

License Status

NOT RENEWED

Business

First Name

KENT

Middle

STEPHEN

Last Name

KAPITAN

Suffix

Business Name

KENT STEPHEN KAPITAN MD

Original Issue Date

01/06/2005

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021