WALTER DANTE CONWELL MD - Medical Doctor License in Illinois | # 125052673

WALTER DANTE CONWELL MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052673

License Status

CANCELLED

Business

N

Title

MD

First Name

WALTER

Middle

DANTE

Last Name

CONWELL

Business Name

WALTER DANTE CONWELL MD

Original Issue Date

06/24/2007

Effective Date

06/24/2007

Expiration Date

06/23/2010

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

04/18/2007