ANTHONY L MACASAET Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

CANCELLED

Business

First Name

ANTHONY L

Last Name

MACASAET

Business Name

ANTHONY L MACASAET

Original Issue Date

07/21/1997

Effective Date

07/21/1997

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008