GARY A CASACCIO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

GARY

Middle

Last Name

CASACCIO

Suffix

Business Name

GARY A CASACCIO MD

Original Issue Date

06/15/1999

Effective Date

04/08/2011

Expiration Date

07/31/2014

City

WHEATON

State

Zip

60189

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020