JAY R WALTHER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044367

License Status

NOT RENEWED

Business

First Name

JAY R

Last Name

WALTHER

Suffix

Business Name

JAY R WALTHER MD

Original Issue Date

07/01/1971

Effective Date

07/01/1971

Expiration Date

07/31/1996

City

HAZEL CREST

State

Zip

60429

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006