BRYAN G WACHTER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036342

License Status

CANCELLED

Business

First Name

BRYAN

Middle

Last Name

WACHTER

Suffix

Business Name

BRYAN G WACHTER MD

Original Issue Date

05/27/1997

Effective Date

05/27/1997

Expiration Date

06/30/2000

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

09/22/2006