AUDREY LILLIAN WAYNE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060060

License Status

NOT RENEWED

Business

First Name

AUDREY LILLIAN

Last Name

WAYNE

Suffix

Business Name

AUDREY LILLIAN WAYNE MD

Original Issue Date

02/25/1980

Effective Date

04/27/2017

Expiration Date

09/30/2020

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021