BRIAN WAYCHOW HUGH DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117482

License Status

NOT RENEWED

Business

Title

First Name

BRIAN

Middle

WAYCHOW

Last Name

HUGH

Business Name

BRIAN WAYCHOW HUGH DO

Original Issue Date

01/22/2007

Effective Date

09/29/2020

Expiration Date

07/31/2023

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023