GABRIELLA FALLON WASERSTEIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072721

License Status

CANCELLED

Business

Title

First Name

GABRIELLA

Middle

FALLON

Last Name

WASERSTEIN

Business Name

GABRIELLA FALLON WASERSTEIN MD

Original Issue Date

06/24/2018

Effective Date

06/24/2018

Expiration Date

06/23/2021

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

05/07/2018