EDWARD JOHN FESCO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

EDWARD JOHN

Last Name

FESCO

Suffix

Business Name

EDWARD JOHN FESCO MD

Original Issue Date

01/01/1997

Effective Date

05/09/2017

Expiration Date

09/30/2020

City

LA SALLE

State

Zip

61301

County

LA SALLE

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

01/14/2021