LEE WALTER HAMMOND MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035368

License Status

NOT RENEWED

Business

First Name

LEE WALTER

Last Name

HAMMOND

Suffix

Business Name

LEE WALTER HAMMOND MD

Original Issue Date

08/19/1958

Effective Date

08/19/1958

Expiration Date

07/31/2005

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006