CORNELIO S CASACLANG JR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000135

License Status

NOT RENEWED

Business

First Name

CORNELIO S

Last Name

CASACLANG JR

Business Name

CORNELIO S CASACLANG JR

Original Issue Date

01/26/1981

Effective Date

01/26/1981

Expiration Date

01/26/1983

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006