STEVEN E WAGGONER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

CANCELLED

Business

First Name

STEVEN E

Last Name

WAGGONER

Suffix

Business Name

STEVEN E WAGGONER MD

Original Issue Date

11/18/1985

Effective Date

11/18/1985

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008