ATHANASIOS FASSAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107349

License Status

NOT RENEWED

Business

First Name

ATHANASIOS

Last Name

FASSAS

Suffix

Business Name

ATHANASIOS FASSAS MD

Original Issue Date

07/03/2002

Effective Date

07/03/2002

Expiration Date

07/31/2005

City

LITTLE ROCK

State

Zip

72202

County

ARKANSAS

Ever Disciplined

LastModifiedDate

10/09/2006