ENA C CASANOVA MD - Medical Doctor License in Illinois | # 125014963

ENA C CASANOVA MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014963

License Status

EXPIRED

Business

N

First Name

ENA C

Last Name

CASANOVA

Suffix

MD

Business Name

ENA C CASANOVA MD

Original Issue Date

08/23/1982

Effective Date

08/23/1982

Expiration Date

07/01/1984

State

IL

Specialty/Qualifier

Pathology

Ever Disciplined

N

LastModifiedDate

09/22/2006