SERGIO C CASACLANG - Medical Doctor License in Illinois | # 125029115

SERGIO C CASACLANG

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029115

License Status

EXPIRED

Business

N

First Name

SERGIO C

Last Name

CASACLANG

Business Name

SERGIO C CASACLANG

Original Issue Date

08/17/1992

Effective Date

08/17/1992

Expiration Date

08/16/1995

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006