SAMINA MAJID WAGGONER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112866

License Status

NOT RENEWED

Business

Title

First Name

SAMINA

Middle

MAJID

Last Name

WAGGONER

Business Name

SAMINA MAJID WAGGONER MD

Original Issue Date

01/07/2005

Effective Date

07/28/2014

Expiration Date

07/31/2017

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Ever Disciplined

LastModifiedDate

11/01/2017