GEORGE EDWARD CASSIDY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

GEORGE EDWARD

Last Name

CASSIDY

Suffix

Business Name

GEORGE EDWARD CASSIDY MD

Original Issue Date

01/01/1997

Effective Date

07/11/2011

Expiration Date

07/31/2014

City

BELLEVILLE

State

Zip

62228

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014