FLORENCE BAYSA CAPPLEMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050195

License Status

EXPIRED

Business

First Name

FLORENCE

Middle

BAYSA

Last Name

CAPPLEMAN

Suffix

Business Name

FLORENCE BAYSA CAPPLEMAN MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

07/21/2008

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/31/2008