ANTHONY W MACASIEB DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081349

License Status

NOT RENEWED

Business

First Name

ANTHONY W

Last Name

MACASIEB

Suffix

Business Name

ANTHONY W MACASIEB DO

Original Issue Date

08/22/1990

Effective Date

08/22/1990

Expiration Date

07/31/1996

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

09/20/2006