THOMAS L WAIDZUNAS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021242

License Status

EXPIRED

Business

First Name

THOMAS L

Last Name

WAIDZUNAS

Suffix

Business Name

THOMAS L WAIDZUNAS MD

Original Issue Date

06/09/1987

Effective Date

06/09/1987

Expiration Date

06/22/1990

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006