JOSEPH A CACCAMO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****26

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

Last Name

CACCAMO

Business Name

JOSEPH A CACCAMO

Original Issue Date

05/01/2006

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