BRETT J VASSALLO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097455

License Status

ACTIVE

Business

First Name

BRETT

Middle

Last Name

VASSALLO

Business Name

BRETT J VASSALLO

Original Issue Date

03/16/1998

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

04/18/2023