HARRIETTA KAPSALIS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000450

License Status

EXPIRED

Business

First Name

HARRIETTA

Last Name

KAPSALIS

Suffix

Business Name

HARRIETTA KAPSALIS DO

Original Issue Date

04/01/1999

Effective Date

04/01/1999

Expiration Date

04/30/1999

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/25/2006