CHARLES J FASELIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030603

License Status

EXPIRED

Business

First Name

CHARLES J

Last Name

FASELIS

Suffix

Business Name

CHARLES J FASELIS MD

Original Issue Date

07/07/1993

Effective Date

07/07/1993

Expiration Date

07/06/1996

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006