PATRICIA VASSALLO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108456

License Status

ACTIVE

Business

First Name

PATRICIA

Last Name

VASSALLO

Business Name

PATRICIA VASSALLO

Original Issue Date

01/17/2003

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

06/16/2023