BRUNO F CASANOVA MD 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

Title

First Name

BRUNO

Middle

Last Name

CASANOVA

Business Name

BRUNO F CASANOVA MD

Original Issue Date

06/04/2012

Effective Date

06/04/2012

Expiration Date

07/31/2014

City

WHITE PLAINS

State

Zip

10607

County

NEW YORK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014