GLEN ANDREW WASKIN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038415

License Status

EXPIRED

Business

First Name

GLEN

Middle

ANDREW

Last Name

WASKIN

Suffix

Business Name

GLEN ANDREW WASKIN DO

Original Issue Date

06/22/1998

Effective Date

06/22/1998

Expiration Date

06/21/1999

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006