EDWARD JOHN FESCO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036034820

License Status

NOT RENEWED

Business

First Name

EDWARD JOHN

Last Name

FESCO

Suffix

Business Name

EDWARD JOHN FESCO MD

Original Issue Date

08/16/1957

Effective Date

05/09/2017

Expiration Date

09/30/2020

City

LASALLE

State

Zip

61301

County

LA SALLE

Ever Disciplined

LastModifiedDate

01/14/2021