JOSE M CASANOVA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079427

License Status

NOT RENEWED

Business

First Name

JOSE M

Last Name

CASANOVA

Business Name

JOSE M CASANOVA

Original Issue Date

09/16/1989

Effective Date

09/16/1989

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006