MIROSLAW JAN WALO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093864

License Status

ACTIVE

Business

First Name

MIROSLAW

Middle

JAN

Last Name

WALO

Suffix

Business Name

MIROSLAW JAN WALO MD

Original Issue Date

08/01/1996

Effective Date

06/26/2023

Expiration Date

07/31/2026

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

06/26/2023