WAYNE B HOUSTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

WAYNE B

Last Name

HOUSTON

Suffix

Business Name

WAYNE B HOUSTON MD

Original Issue Date

01/09/1987

Effective Date

01/09/1987

Expiration Date

07/31/1990

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006