KEVIN ANTHONY KAPOV Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036291

License Status

EXPIRED

Business

First Name

KEVIN ANTHONY

Last Name

KAPOV

Business Name

KEVIN ANTHONY KAPOV

Original Issue Date

05/22/1997

Effective Date

05/22/1997

Expiration Date

06/30/2000

City

LAGRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006