ANTHONY L MACASAET - Medical Doctor License in Wisconsin | # 036096087

ANTHONY L MACASAET

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096087

License Status

INACTIVE

Business

N

First Name

ANTHONY L

Last Name

MACASAET

Business Name

ANTHONY L MACASAET

Original Issue Date

07/17/1997

Effective Date

07/31/2006

Expiration Date

07/31/2008

State

WI

Ever Disciplined

N

LastModifiedDate

07/23/2008