TRAVIS B WASSERMANN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074693

License Status

CANCELLED

Business

Title

First Name

TRAVIS

Middle

Last Name

WASSERMANN

Business Name

TRAVIS B WASSERMANN MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/03/2019