TRAVIS B WASSERMANN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

Title

First Name

TRAVIS

Middle

Last Name

WASSERMANN

Business Name

TRAVIS B WASSERMANN MD

Original Issue Date

10/25/2021

Effective Date

10/25/2021

Expiration Date

07/31/2023

City

MAYWOOD

State

Zip

60153

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023