CODIE VASSAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

Title

First Name

CODIE

Last Name

VASSAR

Business Name

CODIE VASSAR MD

Original Issue Date

05/13/2022

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

MILWAUKEE

State

Zip

53208

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2023