ANTHONY L MACASAET Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096087

License Status

INACTIVE

Business

First Name

ANTHONY L

Last Name

MACASAET

Business Name

ANTHONY L MACASAET

Original Issue Date

07/17/1997

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

VIROQUA

State

Zip

54665

Ever Disciplined

LastModifiedDate

07/23/2008