LANCE B WALDO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096879

License Status

NOT RENEWED

Business

First Name

LANCE

Middle

Last Name

WALDO

Business Name

LANCE B WALDO

Original Issue Date

10/21/1997

Effective Date

10/21/1997

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

08/12/2010