LEWIS M WASSERMAN Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****91

License Status

ACTIVE

Business

First Name

LEWIS M

Last Name

WASSERMAN

Business Name

LEWIS M WASSERMAN

Original Issue Date

08/08/1990

Effective Date

01/17/2025

Expiration Date

01/31/2027

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025