JOSE M CASANOVA - Medical Doctor License in Illinois | # 036079427

JOSE M CASANOVA

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079427

License Status

NOT RENEWED

Business

N

First Name

JOSE M

Last Name

CASANOVA

Business Name

JOSE M CASANOVA

Original Issue Date

09/16/1989

Effective Date

09/16/1989

Expiration Date

07/31/1996

State

IL

Ever Disciplined

N

LastModifiedDate

09/20/2006