WILLARD ELLSWORT WALTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039080

License Status

NOT RENEWED

Business

First Name

WILLARD ELLSWORT

Last Name

WALTON

Suffix

Business Name

WILLARD ELLSWORT WALTON MD

Original Issue Date

05/21/1964

Effective Date

05/21/1964

Expiration Date

07/31/1999

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006