JUSTIN ROSS WASSERMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050572

License Status

CANCELLED

Business

First Name

JUSTIN

Middle

ROSS

Last Name

WASSERMAN

Suffix

Business Name

JUSTIN ROSS WASSERMAN MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

09/22/2006