DANILO GUNGON CAPATI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

DANILO GUNGON

Last Name

CAPATI

Suffix

Business Name

DANILO GUNGON CAPATI MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008