DAVID RICHARD WALEGA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

DAVID RICHARD

Last Name

WALEGA

Suffix

Business Name

DAVID RICHARD WALEGA MD

Original Issue Date

05/08/1997

Effective Date

05/08/1997

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020