AMY SUE WASCHULL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112128

License Status

ACTIVE

Business

First Name

AMY

Middle

SUE

Last Name

WASCHULL

Suffix

Business Name

AMY SUE WASCHULL MD

Original Issue Date

08/16/2004

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

07/12/2023