D WAINE A BOBO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035310

License Status

EXPIRED

Business

First Name

D WAINE

Middle

Last Name

BOBO

Business Name

D WAINE A BOBO

Original Issue Date

06/29/1996

Effective Date

06/29/1996

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006