FAZLE M YASIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050777

License Status

NOT RENEWED

Business

First Name

FAZLE

Middle

Last Name

YASIN

Suffix

Business Name

FAZLE M YASIN MD

Original Issue Date

02/25/1975

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

SAINT LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

2013002016

Action

Probation

Discipline Start Date

08/02/2013

Discipline End Date

10/13/2016

Discipline Reason

license restored to indefinite probation.