BRETT JOSEPH WAVERLY Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005725

License Status

NOT RENEWED

Business

First Name

BRETT

Middle

JOSEPH

Last Name

WAVERLY

Business Name

BRETT JOSEPH WAVERLY

Original Issue Date

06/23/2016

Effective Date

12/22/2016

Expiration Date

01/31/2019

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

03/28/2019