CATHERINE D CANSINO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

CATHERINE

Middle

Last Name

CANSINO

Business Name

CATHERINE D CANSINO

Original Issue Date

03/10/2008

Effective Date

03/10/2008

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60630

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008