ISRAEL L WACKS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074302

License Status

NOT RENEWED

Business

First Name

ISRAEL L

Last Name

WACKS

Suffix

Business Name

ISRAEL L WACKS MD

Original Issue Date

01/07/1987

Effective Date

01/07/1987

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006