ENA C CASANOVA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014963

License Status

EXPIRED

Business

First Name

ENA C

Last Name

CASANOVA

Suffix

Business Name

ENA C CASANOVA MD

Original Issue Date

08/23/1982

Effective Date

08/23/1982

Expiration Date

07/01/1984

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006