JORGE LUIS CAPDEVILA MD - Medical Doctor License in Illinois | # 125069549

JORGE LUIS CAPDEVILA MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069549

License Status

EXPIRED

Business

N

Title

MD

First Name

JORGE

Middle

LUIS

Last Name

CAPDEVILA

Business Name

JORGE LUIS CAPDEVILA MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2019

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

10/02/2019