CRISALE C COSAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085907

License Status

NOT RENEWED

Business

First Name

CRISALE C

Last Name

COSAS

Suffix

Business Name

CRISALE C COSAS MD

Original Issue Date

03/17/1993

Effective Date

07/21/2008

Expiration Date

07/31/2011

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

11/14/2011