HOWARD BRUCE WAITZKIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131762

License Status

ACTIVE

Business

Title

First Name

HOWARD

Middle

BRUCE

Last Name

WAITZKIN

Business Name

HOWARD BRUCE WAITZKIN MD

Original Issue Date

11/21/2012

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

LOVES PARK

State

Zip

61132

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/19/2024