BRETT JOSEPH WAVERLY Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****88

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

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019