ANGELO M CAPRICCHIONE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

Title

First Name

ANGELO

Middle

Last Name

CAPRICCHIONE

Business Name

ANGELO M CAPRICCHIONE MD

Original Issue Date

05/23/2012

Effective Date

05/23/2012

Expiration Date

07/31/2014

City

CHAMPAIGN

State

Zip

61824

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014