ENA C CASANOVA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067449

License Status

INACTIVE

Business

First Name

ENA C

Last Name

CASANOVA

Suffix

Business Name

ENA C CASANOVA MD

Original Issue Date

08/31/1983

Effective Date

08/31/1983

Expiration Date

07/31/1990

City

PORT CHARLOTTE

State

Zip

33952

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006