LOUIS SAMUEL WALDMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

Title

First Name

LOUIS

Middle

SAMUEL

Last Name

WALDMAN

Business Name

LOUIS SAMUEL WALDMAN MD

Original Issue Date

06/01/2015

Effective Date

06/01/2015

Expiration Date

07/31/2017

City

NEW HAVEN

State

Zip

06511

County

CONNECTICUT

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017