LOIS WAGSTROM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078013

License Status

NOT RENEWED

Business

First Name

LOIS

Last Name

WAGSTROM

Suffix

Business Name

LOIS WAGSTROM MD

Original Issue Date

10/15/1988

Effective Date

10/15/1988

Expiration Date

07/31/1993

City

BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006