CHARLES ANTHONY CAPASSO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

CHARLES ANTHONY

Last Name

CAPASSO

Suffix

Business Name

CHARLES ANTHONY CAPASSO MD

Original Issue Date

10/26/1983

Effective Date

10/26/1983

Expiration Date

07/31/1984

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006