STEVEN J FASS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076450

License Status

INACTIVE

Business

First Name

STEVEN J

Last Name

FASS

Suffix

Business Name

STEVEN J FASS MD

Original Issue Date

12/12/1987

Effective Date

12/12/1987

Expiration Date

07/31/1990

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006