D WAINE A BOBO - Medical Doctor License in Illinois | # 125035310

D WAINE A BOBO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035310

License Status

EXPIRED

Business

N

First Name

D WAINE

Middle

A

Last Name

BOBO

Business Name

D WAINE A BOBO

Original Issue Date

06/29/1996

Effective Date

06/29/1996

Expiration Date

06/30/1999

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

09/22/2006