AUDREY LILLIAN WAYNE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

AUDREY LILLIAN

Last Name

WAYNE

Suffix

Business Name

AUDREY LILLIAN WAYNE MD

Original Issue Date

01/01/1997

Effective Date

04/27/2017

Expiration Date

09/30/2020

City

WESTMONT

State

Zip

60559

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021