CHRISTOPHER JOSEPH WAGUESPACK DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

JOSEPH

Last Name

WAGUESPACK

Suffix

Business Name

CHRISTOPHER JOSEPH WAGUESPACK DO

Original Issue Date

11/18/2008

Effective Date

11/18/2008

Expiration Date

07/31/2011

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011