MICHAEL D WAITE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000315

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

Last Name

WAITE

Business Name

MICHAEL D WAITE

Original Issue Date

02/01/1996

Effective Date

02/01/1996

Expiration Date

04/30/1996

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/25/2006