ALAIN A WAKED MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

ALAIN

Middle

Last Name

WAKED

Suffix

Business Name

ALAIN A WAKED MD

Original Issue Date

03/11/2008

Effective Date

08/17/2011

Expiration Date

07/31/2014

City

MARYVILLE

State

Zip

62062

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014