ENA C CASANOVA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

ENA C

Last Name

CASANOVA

Suffix

Business Name

ENA C CASANOVA MD

Original Issue Date

09/23/1983

Effective Date

09/23/1983

Expiration Date

07/31/1990

City

WILLOWBROOK

State

Zip

60514

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006