MARIA L FASSARI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047084

License Status

EXPIRED

Business

First Name

MARIA

Middle

Last Name

FASSARI

Suffix

Business Name

MARIA L FASSARI MD

Original Issue Date

08/25/2003

Effective Date

08/25/2003

Expiration Date

08/24/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006