MARY JO KASTEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

MARY JO

Last Name

KASTEN

Suffix

Business Name

MARY JO KASTEN MD

Original Issue Date

08/06/1987

Effective Date

08/06/1987

Expiration Date

07/31/1990

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006