NICHOLAS A CAPPELLO
Controlled Substance Registration - Physician
Indiana 01047496B Revoked
This Indiana license was held by NICHOLAS A CAPPELLO. The license is no longer active. It was granted on 09/02/1997 and expired on 06/30/2001
LICENSE DETAILS
- License Number: 01047496B
- Category: CSR-Physician
- Status: Revoked
- Date Granted: 09/02/1997 (almost 28 years ago)
- Expiry Date: 06/30/2001 (almost 24 years ago)
LOCATIONS
A Address
DUKES MEMOTRIAL HOSPITAL, GRANT & BOULEVARD, PERU IN 46970