JOSE M CASANOVA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021746

License Status

EXPIRED

Business

First Name

JOSE M

Last Name

CASANOVA

Business Name

JOSE M CASANOVA

Original Issue Date

10/02/1987

Effective Date

10/02/1987

Expiration Date

09/29/1990

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006