License holder summary

Fasen, Geoffrey s is a Medicine And Surgery licensed to practice in Wisconsin. This doctor license is not current. The license was granted 06/01/2012 and expired on 10/31/2013.

Wisconsin

Department of Safety and Professional Services

Fasen, Geoffrey s
Medicine And Surgery
License number
57288-20
Date granted
06/01/2012
Date expires
10/31/2013
Class
Medicine And Surgery
Status
Expired
wisconsinmedicine.org
ID 36438042
LAST UPDATED 2026-04-24 18:00:43 UTC

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