MICHAEL WALSH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036034950

License Status

NOT RENEWED

Business

First Name

MICHAEL

Last Name

WALSH

Suffix

Business Name

MICHAEL WALSH MD

Original Issue Date

10/15/1957

Effective Date

10/15/1957

Expiration Date

07/31/2002

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006