JOSEPH A CACCAMO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002684

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

Last Name

CACCAMO

Business Name

JOSEPH A CACCAMO

Original Issue Date

02/07/2006

Effective Date

02/25/2010

Expiration Date

03/01/2012

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

06/04/2013