ANTHONY AMBROSE LUZTRE CAPILI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046599

License Status

EXPIRED

Business

First Name

ANTHONY AMBROSE

Middle

LUZTRE

Last Name

CAPILI

Suffix

Business Name

ANTHONY AMBROSE LUZTRE CAPILI MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006