TULA CAPUTTO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****08

License Status

NOT RENEWED

Business

First Name

TULA

Last Name

CAPUTTO

Business Name

TULA CAPUTTO

Original Issue Date

08/03/2007

Effective Date

05/20/2010

Expiration Date

03/01/2012

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

08/06/2014