MARK STEPHEN FASZHOLZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095136

License Status

INACTIVE

Business

First Name

MARK

Middle

STEPHEN

Last Name

FASZHOLZ

Suffix

Business Name

MARK STEPHEN FASZHOLZ MD

Original Issue Date

03/25/1997

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

GREELEY

State

Zip

80634

County

COLORADO

Ever Disciplined

LastModifiedDate

06/30/2014