CRAIG FASSL ERBACH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068921

License Status

EXPIRED

Business

Title

First Name

CRAIG

Middle

FASSL

Last Name

ERBACH

Business Name

CRAIG FASSL ERBACH DO

Original Issue Date

06/27/2016

Effective Date

06/27/2016

Expiration Date

06/26/2019

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

10/02/2019