THOMAS L WAIDZUNAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

ACTIVE

Business

First Name

THOMAS L

Last Name

WAIDZUNAS

Suffix

Business Name

THOMAS L WAIDZUNAS MD

Original Issue Date

02/08/1989

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/27/2023