MARK STEPHEN FASZHOLZ MD - Medical Doctor License in Colorado | # 036095136

MARK STEPHEN FASZHOLZ MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095136

License Status

INACTIVE

Business

N

First Name

MARK

Middle

STEPHEN

Last Name

FASZHOLZ

Suffix

MD

Business Name

MARK STEPHEN FASZHOLZ MD

Original Issue Date

03/25/1997

Effective Date

04/18/2011

Expiration Date

07/31/2014

State

CO

Ever Disciplined

N

LastModifiedDate

06/30/2014