JAMES R WAYMACK II MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057600

License Status

CANCELLED

Business

Title

First Name

JAMES

Middle

Last Name

WAYMACK

Suffix

Business Name

JAMES R WAYMACK II MD

Original Issue Date

06/26/2010

Effective Date

06/26/2010

Expiration Date

06/25/2013

City

SPRINGFIELD

State

Zip

62794

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/06/2010