JAMES A CARUSO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****35

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

Last Name

CARUSO

Business Name

JAMES A CARUSO

Original Issue Date

01/13/2004

Effective Date

01/10/2014

Expiration Date

03/01/2016

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

04/25/2016