LYLE EUGENE WACASER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035442

License Status

NOT RENEWED

Business

First Name

LYLE EUGENE

Last Name

WACASER

Suffix

Business Name

LYLE EUGENE WACASER MD

Original Issue Date

08/26/1958

Effective Date

07/10/2014

Expiration Date

07/31/2017

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/01/2017