MARK STANLEY WASSERMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104995

License Status

ACTIVE

Business

Title

First Name

MARK

Middle

STANLEY

Last Name

WASSERMAN

Business Name

MARK STANLEY WASSERMAN MD

Original Issue Date

06/19/2001

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

WENTZVILLE

State

Zip

63385

Ever Disciplined

LastModifiedDate

04/14/2025