JEFFREY STEWART WAITZMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058348

License Status

NOT RENEWED

Business

First Name

JEFFREY STEWART

Last Name

WAITZMAN

Suffix

Business Name

JEFFREY STEWART WAITZMAN MD

Original Issue Date

02/21/1979

Effective Date

04/17/2014

Expiration Date

07/31/2017

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

11/01/2017