JOSEPH A CACCAMO - Physician Assistant License in Illinois | # 085002684

JOSEPH A CACCAMO

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002684

License Status

NOT RENEWED

Business

N

First Name

JOSEPH

Middle

A

Last Name

CACCAMO

Business Name

JOSEPH A CACCAMO

Original Issue Date

02/07/2006

Effective Date

02/25/2010

Expiration Date

03/01/2012

State

IL

Ever Disciplined

N

LastModifiedDate

06/04/2013