STEVEN J FASS MD - Medical Doctor License in Wisconsin | # 036076450

STEVEN J FASS MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076450

License Status

INACTIVE

Business

N

First Name

STEVEN J

Last Name

FASS

Suffix

MD

Business Name

STEVEN J FASS MD

Original Issue Date

12/12/1987

Effective Date

12/12/1987

Expiration Date

07/31/1990

State

WI

Ever Disciplined

N

LastModifiedDate

09/20/2006