BRIAN A CASAZZA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026630

License Status

EXPIRED

Business

First Name

BRIAN A

Last Name

CASAZZA

Business Name

BRIAN A CASAZZA

Original Issue Date

05/14/1991

Effective Date

05/14/1991

Expiration Date

06/23/1995

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006