KEVIN LEE WALTZ MD - Medical Doctor License in Indiana | # 036084474

KEVIN LEE WALTZ MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084474

License Status

INACTIVE

Business

N

First Name

KEVIN LEE

Last Name

WALTZ

Suffix

MD

Business Name

KEVIN LEE WALTZ MD

Original Issue Date

06/05/1992

Effective Date

06/05/1992

Expiration Date

07/31/1996

State

IN

Ever Disciplined

N

LastModifiedDate

09/20/2006