RICHARD JOHN WACLAWSKI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151916

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

JOHN

Last Name

WACLAWSKI

Business Name

RICHARD JOHN WACLAWSKI

Original Issue Date

02/21/2020

Effective Date

02/21/2020

Expiration Date

09/30/2020

City

BONSALL

State

Zip

92003

Ever Disciplined

LastModifiedDate

01/14/2021