TODD MICHAEL CAPRITA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061787

License Status

CANCELLED

Business

First Name

TODD

Middle

MICHAEL

Last Name

CAPRITA

Suffix

Business Name

TODD MICHAEL CAPRITA MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/18/2012