LAWRENCE KEYES WACASER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

LAWRENCE KEYES

Last Name

WACASER

Suffix

Business Name

LAWRENCE KEYES WACASER MD

Original Issue Date

10/19/1982

Effective Date

10/19/1982

Expiration Date

07/31/1990

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006