LISA A CASANOVA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076138

License Status

NOT RENEWED

Business

First Name

LISA A

Last Name

CASANOVA

Suffix

Business Name

LISA A CASANOVA MD

Original Issue Date

10/07/1987

Effective Date

10/07/1987

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006