CHARLES L WALVOORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045920

License Status

NOT RENEWED

Business

First Name

CHARLES L

Last Name

WALVOORD

Suffix

Business Name

CHARLES L WALVOORD MD

Original Issue Date

07/31/1972

Effective Date

07/31/1972

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006