CASSIDY RAE CARRASCO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084610

License Status

ACTIVE

Business

Title

First Name

CASSIDY

Middle

RAE

Last Name

CARRASCO

Business Name

CASSIDY RAE CARRASCO DO

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

06/05/2024