LAWRENCE W WAITE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063775

License Status

ACTIVE

Business

First Name

LAWRENCE

Middle

Last Name

WAITE

Suffix

Business Name

LAWRENCE W WAITE DO

Original Issue Date

01/14/1982

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

ONALASKA

State

Zip

54650

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/20/2023