FRANCIS B WAITES MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042533

License Status

INACTIVE

Business

First Name

FRANCIS B

Last Name

WAITES

Suffix

Business Name

FRANCIS B WAITES MD

Original Issue Date

07/01/1969

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

GALENA

State

Zip

61036

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

04/17/2008