DAVID RICHARD WALEGA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

First Name

DAVID RICHARD

Last Name

WALEGA

Suffix

Business Name

DAVID RICHARD WALEGA MD

Original Issue Date

02/06/2003

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2023