ALICIA MARIE WAITE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065388

License Status

CANCELLED

Business

Title

First Name

ALICIA

Middle

MARIE

Last Name

WAITE

Business Name

ALICIA MARIE WAITE DO

Original Issue Date

06/25/2014

Effective Date

06/25/2014

Expiration Date

06/24/2017

City

AURORA

State

Zip

60502

County

KANE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/02/2014