MANUEL A CASANOVA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054971

License Status

INACTIVE

Business

First Name

MANUEL A

Last Name

CASANOVA

Suffix

Business Name

MANUEL A CASANOVA MD

Original Issue Date

07/14/1977

Effective Date

07/14/1977

Expiration Date

07/31/1987

City

GALLIPOLIS

State

Zip

45631

County

OHIO

Ever Disciplined

LastModifiedDate

09/20/2006