CODIE VASSAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159195

License Status

ACTIVE

Business

Title

First Name

CODIE

Last Name

VASSAR

Business Name

CODIE VASSAR MD

Original Issue Date

01/14/2022

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

OAK CREEK

State

Zip

53154

Ever Disciplined

LastModifiedDate

11/21/2025