BRIAN WAYCHOW HUGH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046746

License Status

EXPIRED

Business

Title

First Name

BRIAN

Middle

WAYCHOW

Last Name

HUGH

Business Name

BRIAN WAYCHOW HUGH DO

Original Issue Date

06/23/2003

Effective Date

06/23/2003

Expiration Date

06/22/2007

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/03/2007