GABRIELLA FALLON WASERSTEIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

Title

First Name

GABRIELLA

Middle

FALLON

Last Name

WASERSTEIN

Business Name

GABRIELLA FALLON WASERSTEIN MD

Original Issue Date

05/17/2022

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2023