BRYAN E WALDO - Medical Doctor License in Illinois | # 125044992

BRYAN E WALDO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044992

License Status

EXPIRED

Business

N

First Name

BRYAN

Middle

E

Last Name

WALDO

Business Name

BRYAN E WALDO

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2005

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006