THEODORE JAMES KAPANJIE DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****97

NOT RENEWED

N

THEODORE

JAMES

KAPANJIE

DO

THEODORE JAMES KAPANJIE DO

08/16/1999

08/16/1999

07/31/2002

PARK RIDGE

IL

60068

COOK

II III IV V

N

10/09/2006