BRYAN E WALDO - Medical Doctor License in Illinois | # 036113432

BRYAN E WALDO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113432

License Status

NOT RENEWED

Business

N

First Name

BRYAN

Middle

E

Last Name

WALDO

Business Name

BRYAN E WALDO

Original Issue Date

04/13/2005

Effective Date

04/17/2008

Expiration Date

07/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2011