LISA D WAITCHES DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039391

License Status

EXPIRED

Business

First Name

LISA

Middle

Last Name

WAITCHES

Suffix

Business Name

LISA D WAITCHES DO

Original Issue Date

06/21/1999

Effective Date

06/21/1999

Expiration Date

06/20/2002

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006