BRETT J VASSALLO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

First Name

BRETT

Middle

Last Name

VASSALLO

Business Name

BRETT J VASSALLO

Original Issue Date

06/26/2002

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023