SERGIO C CASACLANG

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****58

NOT RENEWED

N

SERGIO C

CASACLANG

SERGIO C CASACLANG

11/30/1994

06/03/2014

07/31/2017

LIBERTYVILLE

IL

60048

LAKE

II III IV V

N

11/01/2017