BASIL E KAPETANAKIS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043362

License Status

EXPIRED

Business

First Name

BASIL

Middle

Last Name

KAPETANAKIS

Business Name

BASIL E KAPETANAKIS

Original Issue Date

06/18/2001

Effective Date

06/18/2001

Expiration Date

06/17/2005

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006