BRETT JOSEPH WAVERLY - Podiatrist License in Illinois | # 016005725

BRETT JOSEPH WAVERLY

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005725

License Status

NOT RENEWED

Business

N

First Name

BRETT

Middle

JOSEPH

Last Name

WAVERLY

Business Name

BRETT JOSEPH WAVERLY

Original Issue Date

06/23/2016

Effective Date

12/22/2016

Expiration Date

01/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

03/28/2019