JOSE M CASANOVA - Medical Doctor License in Illinois | # 125021746

JOSE M CASANOVA

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021746

License Status

EXPIRED

Business

N

First Name

JOSE M

Last Name

CASANOVA

Business Name

JOSE M CASANOVA

Original Issue Date

10/02/1987

Effective Date

10/02/1987

Expiration Date

09/29/1990

State

IL

Specialty/Qualifier

Pathology

Ever Disciplined

N

LastModifiedDate

09/22/2006