SIDDHARTH KAPOOR 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

First Name

SIDDHARTH

Last Name

KAPOOR

Suffix

Business Name

SIDDHARTH KAPOOR MD

Original Issue Date

09/10/2004

Effective Date

05/15/2008

Expiration Date

07/31/2011

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017