MARK PAUL WALSH DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098078

License Status

NOT RENEWED

Business

First Name

MARK

Middle

PAUL

Last Name

WALSH

Suffix

Business Name

MARK PAUL WALSH DO

Original Issue Date

06/24/1998

Effective Date

06/24/1998

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006