RICHARD MARK WASSERMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045160

License Status

CANCELLED

Business

First Name

RICHARD

Middle

MARK

Last Name

WASSERMAN

Suffix

Business Name

RICHARD MARK WASSERMAN MD

Original Issue Date

06/24/2002

Effective Date

06/24/2002

Expiration Date

06/23/2003

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006