LANCE B WALDO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034709

License Status

EXPIRED

Business

First Name

LANCE

Middle

Last Name

WALDO

Business Name

LANCE B WALDO

Original Issue Date

05/23/1996

Effective Date

05/23/1996

Expiration Date

06/23/1999

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006