BRIAN L CASACLANG DO - Medical Doctor License in Illinois | # 125031517

BRIAN L CASACLANG DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031517

License Status

EXPIRED

Business

N

First Name

BRIAN L

Last Name

CASACLANG

Suffix

DO

Business Name

BRIAN L CASACLANG DO

Original Issue Date

05/25/1994

Effective Date

05/25/1994

Expiration Date

06/19/1997

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006