WAYNE WINDHAM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132257

License Status

INACTIVE

Business

First Name

WAYNE

Last Name

WINDHAM

Suffix

Business Name

WAYNE WINDHAM MD

Original Issue Date

04/04/2013

Effective Date

04/04/2013

Expiration Date

07/31/2014

City

WINTER PARK

State

Zip

32789

County

FLORIDA

Ever Disciplined

LastModifiedDate

06/30/2014