License Directory

Edward Stanley Kapustka Md

Expired

Illinois license 036041088

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036041088
Status
Expired (Not Renewed)
First issued
July 1, 1967
License holder
Edward Stanley Kapustka Md
Entity type
Individual

Classifications

More from the license record

Current term began
07/01/1967

Contact

White Water, WI 53190
Wisconsin County