MARYBETH E KAPP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

First Name

MARYBETH E

Last Name

KAPP

Suffix

Business Name

MARYBETH E KAPP MD

Original Issue Date

07/24/1996

Effective Date

07/24/1996

Expiration Date

07/31/1999

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006