ASAL FATHIAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147191

License Status

ACTIVE

Business

Title

First Name

ASAL

Last Name

FATHIAN

Business Name

ASAL FATHIAN MD

Original Issue Date

08/13/2018

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

CLAYTON

State

Zip

63124

Ever Disciplined

LastModifiedDate

05/02/2023