JOHN FREDERICK WALSTRUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057596

License Status

NOT RENEWED

Business

First Name

JOHN FREDERICK

Last Name

WALSTRUM

Suffix

Business Name

JOHN FREDERICK WALSTRUM MD

Original Issue Date

09/15/1978

Effective Date

09/15/1978

Expiration Date

07/01/1982

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006