ASSA MAYERSDORF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

ASSA

Last Name

MAYERSDORF

Suffix

Business Name

ASSA MAYERSDORF MD

Original Issue Date

12/20/1990

Effective Date

07/14/2014

Expiration Date

07/31/2017

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017