CASIANO RAMIREZ FLAVIANO III Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

CASIANO

Middle

RAMIREZ

Last Name

FLAVIANO

Suffix

III

Business Name

CASIANO RAMIREZ FLAVIANO III

Original Issue Date

10/13/1993

Effective Date

10/13/1993

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011