MICHAEL RYAN FASSL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

RYAN

Last Name

FASSL

Business Name

MICHAEL RYAN FASSL MD

Original Issue Date

08/07/2023

Effective Date

08/07/2023

Expiration Date

07/31/2026

City

MERRIONETTE PARK

State

Zip

60803

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/17/2023