SAMINA MAJID WAGGONER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

Title

First Name

SAMINA

Middle

MAJID

Last Name

WAGGONER

Business Name

SAMINA MAJID WAGGONER MD

Original Issue Date

09/17/2014

Effective Date

09/17/2014

Expiration Date

07/31/2017

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017