RICHARD L FASSOLA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000933

License Status

ACTIVE

Business

First Name

RICHARD

Middle

Last Name

FASSOLA

Business Name

RICHARD L FASSOLA

Original Issue Date

08/08/1997

Effective Date

02/16/2024

Expiration Date

03/01/2026

City

LISLE

State

Zip

60532

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/03/2025