WALLER UROLOGY LTD - Medical Corporation License in Illinois | # 042619552

WALLER UROLOGY LTD

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042619552

License Status

NOT RENEWED

Business

Y

First Name

UROLOGY

Middle

LTD

Last Name

WALLER

Business Name

WALLER UROLOGY LTD

Original Issue Date

08/04/2009

Effective Date

08/04/2009

Expiration Date

01/01/2010

State

IL

Ever Disciplined

N

LastModifiedDate

02/04/2010