BRIAN ANTHONY FISSEL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044428

License Status

EXPIRED

Business

First Name

BRIAN

Middle

ANTHONY

Last Name

FISSEL

Suffix

Business Name

BRIAN ANTHONY FISSEL MD

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2003

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006