EVELYN J ICASIANO MD
Temporary Medical Permit
Illinois 125048348 Expired
This Illinois license was held by EVELYN J ICASIANO MD. The license is no longer active. It was granted on 07/01/2004 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 125048348
- Category: TEMPORARY MEDICAL PERMIT
- Status: Expired
- Date Granted: 07/01/2004 (almost 20 years ago)
- Expiry Date: 06/30/2007 (almost 17 years ago)
LOCATIONS
A Address
UNION CITY, NJ 070875302