ERIC L KAPUSTKA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

First Name

ERIC L

Last Name

KAPUSTKA

Suffix

Business Name

ERIC L KAPUSTKA MD

Original Issue Date

05/17/1994

Effective Date

06/04/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2023