ANDREW AUSTIN GASSMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

AUSTIN

Last Name

GASSMAN

Suffix

Business Name

ANDREW AUSTIN GASSMAN MD

Original Issue Date

11/05/2007

Effective Date

06/06/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014