WALTER DANTE CONWELL MD - Medical Doctor License in Illinois | # 036125663

WALTER DANTE CONWELL MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125663

License Status

NOT RENEWED

Business

N

Title

MD

First Name

WALTER

Middle

DANTE

Last Name

CONWELL

Business Name

WALTER DANTE CONWELL MD

Original Issue Date

05/04/2010

Effective Date

05/04/2010

Expiration Date

07/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2011