KENT STEPHEN KAPITAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

KENT

Middle

STEPHEN

Last Name

KAPITAN

Suffix

Business Name

KENT STEPHEN KAPITAN MD

Original Issue Date

01/31/2005

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021