WALLER UROLOGY LTD Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042619552

License Status

NOT RENEWED

Business

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

City

OLNEY

State

Zip

62450

County

RICHLAND

Ever Disciplined

LastModifiedDate

02/04/2010