WALTER C NIEDEREE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078966

License Status

INACTIVE

Business

First Name

WALTER C

Last Name

NIEDEREE

Suffix

Business Name

WALTER C NIEDEREE MD

Original Issue Date

05/31/1989

Effective Date

05/31/1989

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006