WAYNE MARK KASSEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

CANCELLED

Business

First Name

WAYNE

Middle

MARK

Last Name

KASSEL

Suffix

Business Name

WAYNE MARK KASSEL MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2002

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

10/09/2006