BRIAN PAUL KASALAJTIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

Title

First Name

BRIAN

Middle

PAUL

Last Name

KASALAJTIS

Business Name

BRIAN PAUL KASALAJTIS MD

Original Issue Date

03/19/2009

Effective Date

03/19/2009

Expiration Date

07/31/2011

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011