ANTHONY G WAYNE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065292

License Status

NOT RENEWED

Business

First Name

ANTHONY G

Last Name

WAYNE

Suffix

Business Name

ANTHONY G WAYNE MD

Original Issue Date

09/09/1982

Effective Date

09/09/1982

Expiration Date

07/31/1984

City

BUFFALO

State

Zip

14222

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006