ELBERT A FASNACHT II MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

First Name

ELBERT A

Last Name

FASNACHT II

Suffix

Business Name

ELBERT A FASNACHT II MD

Original Issue Date

10/14/1987

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2023