MATTHEW DAVID CAPODARCO DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068369

License Status

EXPIRED

Business

Title

First Name

MATTHEW

Middle

DAVID

Last Name

CAPODARCO

Business Name

MATTHEW DAVID CAPODARCO DO

Original Issue Date

06/22/2016

Effective Date

06/22/2016

Expiration Date

06/21/2017

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/19/2017