PAUL WILLIAM WAVAK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042768

License Status

INACTIVE

Business

First Name

PAUL WILLIAM

Last Name

WAVAK

Suffix

Business Name

PAUL WILLIAM WAVAK MD

Original Issue Date

08/08/1969

Effective Date

06/02/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

85383

County

ARIZONA

Ever Disciplined

LastModifiedDate

04/08/2014