CARRIE-LOU WALTERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045919

License Status

NOT RENEWED

Business

First Name

CARRIE-LOU

Last Name

WALTERS

Suffix

Business Name

CARRIE-LOU WALTERS MD

Original Issue Date

07/31/1972

Effective Date

07/31/1972

Expiration Date

07/01/1978

City

PHOENIX

State

Zip

85012

County

COOK

Ever Disciplined

LastModifiedDate

06/08/2007