TRAVIS B WASSERMANN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158505

License Status

NOT RENEWED

Business

Title

First Name

TRAVIS

Middle

Last Name

WASSERMANN

Business Name

TRAVIS B WASSERMANN MD

Original Issue Date

10/14/2021

Effective Date

10/14/2021

Expiration Date

07/31/2023

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023