BRIAN L CASACLANG DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031517

License Status

EXPIRED

Business

First Name

BRIAN L

Last Name

CASACLANG

Suffix

Business Name

BRIAN L CASACLANG DO

Original Issue Date

05/25/1994

Effective Date

05/25/1994

Expiration Date

06/19/1997

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006