BRETT J VASSALLO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

BRETT

Middle

Last Name

VASSALLO

Business Name

BRETT J VASSALLO

Original Issue Date

02/05/1999

Effective Date

02/05/1999

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/05/2020