JAMES N CAVALLARO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****43

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

Last Name

CAVALLARO

Business Name

JAMES N CAVALLARO

Original Issue Date

08/12/2003

Effective Date

08/12/2003

Expiration Date

03/01/2004

City

MELROSE PARK

State

Zip

60160

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006