HOWARD BRUCE WAITZKIN 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

Title

First Name

HOWARD

Middle

BRUCE

Last Name

WAITZKIN

Business Name

HOWARD BRUCE WAITZKIN MD

Original Issue Date

06/17/2013

Effective Date

06/17/2013

Expiration Date

07/31/2014

City

HARVARD

State

Zip

60033

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/21/2020