QUINTIN MARK CAPPELLE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060003

License Status

EXPIRED

Business

Title

First Name

QUINTIN

Middle

MARK

Last Name

CAPPELLE

Business Name

QUINTIN MARK CAPPELLE MD

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/23/2016

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

08/16/2016