WALTER KNOLL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088482

License Status

ACTIVE

Business

First Name

WALTER

Last Name

KNOLL

Suffix

Business Name

WALTER KNOLL DO

Original Issue Date

06/01/1994

Effective Date

04/24/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/24/2023