AMY SUE WASCHULL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

ACTIVE

Business

First Name

AMY

Middle

SUE

Last Name

WASCHULL

Suffix

Business Name

AMY SUE WASCHULL MD

Original Issue Date

08/17/2004

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2023