CARLOS P CAPATI MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****35

NOT RENEWED

N

CARLOS P

CAPATI

MD

CARLOS P CAPATI MD

01/01/1997

04/24/2014

07/31/2017

DECATUR

IL

62521

MACON

II III IV V

N

11/01/2017