License holder summary

NICHOLAS A CAPPELLO is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for NICHOLAS A CAPPELLO is DUKES MEMOTRIAL HOSPITAL, GRANT & BOULEVARD, PERU IN 46970. This licensed professional license is not current. The license was granted 09/02/1997 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

NICHOLAS A CAPPELLO
Controlled Substance Registration - Physician
License number
01047496B
Date granted
09/02/1997
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Revoked
Address
DUKES MEMOTRIAL HOSPITAL, GRANT & BOULEVARD, PERU IN 46970
indianalicensing.org
ID 5909571
LAST UPDATED 2024-04-21 01:21:57 UTC

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