BRYAN G WACHTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101553

License Status

NOT RENEWED

Business

First Name

BRYAN

Middle

Last Name

WACHTER

Suffix

Business Name

BRYAN G WACHTER MD

Original Issue Date

11/01/1999

Effective Date

11/01/1999

Expiration Date

07/31/2002

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006