WALTER A FORRED JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088390

License Status

INACTIVE

Business

First Name

WALTER A

Last Name

FORRED JR

Suffix

Business Name

WALTER A FORRED JR MD

Original Issue Date

05/04/1994

Effective Date

05/04/1994

Expiration Date

07/31/2002

City

PHOENIX

State

Zip

85021

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/09/2006