RALPH WILLIAM WAYNE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

RALPH WILLIAM

Last Name

WAYNE

Suffix

Business Name

RALPH WILLIAM WAYNE MD

Original Issue Date

08/27/1987

Effective Date

10/19/2015

Expiration Date

07/31/2017

City

HILTON HEAD ISLAND

State

Zip

29928

County

SOUTH CAROLINA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020