ANTHONY F WAECHTER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107825

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

Last Name

WAECHTER

Business Name

ANTHONY F WAECHTER

Original Issue Date

09/12/2002

Effective Date

09/12/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006