VICTORIA ROSE FASICK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

Title

First Name

VICTORIA

Middle

ROSE

Last Name

FASICK

Business Name

VICTORIA ROSE FASICK DO

Original Issue Date

07/17/2024

Effective Date

07/17/2024

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026