EDWARD MARCUS CAPOCCIA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067811

License Status

CANCELLED

Business

Title

First Name

EDWARD

Middle

MARCUS

Last Name

CAPOCCIA

Business Name

EDWARD MARCUS CAPOCCIA MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

05/21/2018