MICHAEL THOMAS CASNELLIE MD - Medical Doctor License in Illinois | # 130000557

MICHAEL THOMAS CASNELLIE MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000557

License Status

EXPIRED

Business

N

First Name

MICHAEL

Middle

THOMAS

Last Name

CASNELLIE

Suffix

MD

Business Name

MICHAEL THOMAS CASNELLIE MD

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

09/30/2002

State

IL

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

N

LastModifiedDate

09/25/2006