ROBERT ANDREW FASANO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102882

License Status

ACTIVE

Business

First Name

ROBERT

Middle

ANDREW

Last Name

FASANO

Suffix

Business Name

ROBERT ANDREW FASANO MD

Original Issue Date

06/28/2000

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

LAKE GENEVA

State

Zip

53147

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/17/2023