PHILIP ANTHONY CASELLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036027864

License Status

NOT RENEWED

Business

First Name

PHILIP ANTHONY

Last Name

CASELLA

Suffix

Business Name

PHILIP ANTHONY CASELLA MD

Original Issue Date

05/13/1947

Effective Date

05/23/2011

Expiration Date

07/31/2014

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014