ERIC L KAPUSTKA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026255

License Status

EXPIRED

Business

First Name

ERIC L

Last Name

KAPUSTKA

Suffix

Business Name

ERIC L KAPUSTKA MD

Original Issue Date

04/23/1991

Effective Date

04/23/1991

Expiration Date

06/30/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006