RHODESSA B CAPULONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

ACTIVE

Business

First Name

RHODESSA

Middle

Last Name

CAPULONG

Suffix

Business Name

RHODESSA B CAPULONG MD

Original Issue Date

10/20/1995

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

DARIEN

State

Zip

60561

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/10/2023