MARK STANLEY WASSERMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

Title

First Name

MARK

Middle

STANLEY

Last Name

WASSERMAN

Business Name

MARK STANLEY WASSERMAN MD

Original Issue Date

07/11/2001

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

OTTAWA

State

Zip

61350

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023