ROGER KAPOOR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054605

License Status

CANCELLED

Business

Title

First Name

ROGER

Last Name

KAPOOR

Business Name

ROGER KAPOOR MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

LAKE FOREST

State

Zip

60045

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

05/29/2008