PAUL EDWIN WALLIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041244

License Status

NOT RENEWED

Business

First Name

PAUL EDWIN

Last Name

WALLIN

Suffix

Business Name

PAUL EDWIN WALLIN MD

Original Issue Date

07/28/1967

Effective Date

04/22/2011

Expiration Date

07/31/2014

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014