CHARLES JOSEPH VASSALLO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135012

License Status

ACTIVE

Business

Title

First Name

CHARLES

Middle

JOSEPH

Last Name

VASSALLO

Business Name

CHARLES JOSEPH VASSALLO MD

Original Issue Date

04/15/2014

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

EDEN PRAIRIE

State

Zip

55344

Ever Disciplined

LastModifiedDate

01/07/2025