MARC Y WASSERMAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110646

License Status

NOT RENEWED

Business

First Name

MARC

Middle

Last Name

WASSERMAN

Business Name

MARC Y WASSERMAN

Original Issue Date

01/05/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

PHOENIX

State

Zip

85054

County

COOK

Ever Disciplined

LastModifiedDate

12/05/2011