GWENIVIERE KAYLA CAPRON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

Title

First Name

GWENIVIERE

Middle

KAYLA

Last Name

CAPRON

Business Name

GWENIVIERE KAYLA CAPRON MD

Original Issue Date

11/09/2020

Effective Date

11/09/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023