STEPHEN R WALTMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061896

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

Last Name

WALTMAN

Suffix

Business Name

STEPHEN R WALTMAN MD

Original Issue Date

03/20/1981

Effective Date

04/30/2014

Expiration Date

07/31/2017

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/01/2017