BRYAN G WACHTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

BRYAN

Middle

Last Name

WACHTER

Suffix

Business Name

BRYAN G WACHTER MD

Original Issue Date

11/01/1999

Effective Date

11/01/1999

Expiration Date

07/31/2002

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006