CHRISTOPHER JOSEPH WAGUESPACK DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052128

License Status

CANCELLED

Business

First Name

CHRISTOPHER

Middle

JOSEPH

Last Name

WAGUESPACK

Suffix

Business Name

CHRISTOPHER JOSEPH WAGUESPACK DO

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2009

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/04/2007