RICHARD A WADDELL MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****07

NOT RENEWED

N

RICHARD

A

WADDELL

MD

RICHARD A WADDELL MD

08/09/1999

08/09/1999

07/31/2005

CHICAGO

IL

60612

COOK

II III IV V

N

10/09/2006