The holder whose full name is Capati, Carlos P.,come from Decatur IL,hold the Physician license(NO.01053967A) which status is Expired Non-Renewable.
| Name | Capati, Carlos P. |
|---|---|
| License Number | 01053967A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Decatur |
| State | IL |