Anthony Rocco Fasanella DO
Temporary Medical Permit
Illinois 125042562 Expired
This Illinois license was held by Anthony Rocco Fasanella DO. The license is no longer active. It was granted on 07/01/2001 and expired on 06/30/2004
LICENSE DETAILS
- License Number: 125042562
- Category: TEMPORARY MEDICAL PERMIT
- Status: Expired
- Date Granted: 07/01/2001 (almost 23 years ago)
- Expiry Date: 06/30/2004 (almost 20 years ago)
LOCATIONS
A Address
CYPRESS, TX 77433