JOSE M CASANOVA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

JOSE M

Last Name

CASANOVA

Business Name

JOSE M CASANOVA

Original Issue Date

06/12/1992

Effective Date

06/12/1992

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

09/26/2006