CASIANO RAMIREZ FLAVIANO III Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029139

License Status

EXPIRED

Business

First Name

CASIANO

Middle

RAMIREZ

Last Name

FLAVIANO

Suffix

III

Business Name

CASIANO RAMIREZ FLAVIANO III

Original Issue Date

09/16/1992

Effective Date

09/16/1992

Expiration Date

09/15/1995

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006