GIANINA CAZAN LONDON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

GIANINA

Last Name

CAZAN LONDON

Business Name

GIANINA CAZAN LONDON

Original Issue Date

09/01/2010

Effective Date

09/01/2010

Expiration Date

07/31/2011

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011