WALTER J BRISTOW III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073078

License Status

NOT RENEWED

Business

First Name

WALTER J

Last Name

BRISTOW III

Suffix

Business Name

WALTER J BRISTOW III MD

Original Issue Date

07/03/1986

Effective Date

07/03/1986

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006