JOHN ANTHONY CHANASUE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060164

License Status

NOT RENEWED

Business

First Name

JOHN ANTHONY

Last Name

CHANASUE

Suffix

Business Name

JOHN ANTHONY CHANASUE MD

Original Issue Date

03/13/1980

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

11/01/2017