ALELI CASINO MASAJO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049484

License Status

CANCELLED

Business

First Name

ALELI

Middle

CASINO

Last Name

MASAJO

Suffix

Business Name

ALELI CASINO MASAJO MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

08/21/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/29/2008