ROBERT J CAPELLO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****71

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

CAPELLO

Business Name

ROBERT J CAPELLO

Original Issue Date

01/18/2008

Effective Date

05/12/2014

Expiration Date

03/01/2016

City

PERU

State

Zip

61354

County

LA SALLE

Ever Disciplined

LastModifiedDate

03/29/2016