LYLE EUGENE WACASER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

CANCELLED

Business

First Name

LYLE EUGENE

Last Name

WACASER

Suffix

Business Name

LYLE EUGENE WACASER MD

Original Issue Date

01/01/1997

Effective Date

06/28/2011

Expiration Date

07/31/2014

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017