JUSTIN ROSS WASSERMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

ROSS

Last Name

WASSERMAN

Suffix

Business Name

JUSTIN ROSS WASSERMAN MD

Original Issue Date

03/19/2009

Effective Date

07/29/2011

Expiration Date

07/31/2014

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014