ROBERT P VANDE KAPPELLE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114768

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

VANDE KAPPELLE

Business Name

ROBERT P VANDE KAPPELLE

Original Issue Date

10/19/2005

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

POLAND

State

Zip

44514

County

OHIO

Ever Disciplined

LastModifiedDate

11/14/2011