RICHARD JOSEPH WALLYN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036032156

License Status

NOT RENEWED

Business

First Name

RICHARD JOSEPH

Last Name

WALLYN

Suffix

Business Name

RICHARD JOSEPH WALLYN MD

Original Issue Date

08/26/1953

Effective Date

07/01/2020

Expiration Date

07/31/2023

City

HOMER GLEN

State

Zip

60491

County

WILL

Ever Disciplined

LastModifiedDate

11/30/2023