ADDASON FELLOWS MCCASLIN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065307

License Status

EXPIRED

Business

First Name

ADDASON

Middle

FELLOWS

Last Name

MCCASLIN

Business Name

ADDASON FELLOWS MCCASLIN

Original Issue Date

06/23/2014

Effective Date

06/23/2014

Expiration Date

06/22/2015

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/04/2015