BRETT J VASSALLO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032943

License Status

EXPIRED

Business

First Name

BRETT

Middle

Last Name

VASSALLO

Business Name

BRETT J VASSALLO

Original Issue Date

06/03/1995

Effective Date

06/03/1995

Expiration Date

06/23/1998

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006