JEANNINE T WALTERS Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098174

License Status

INACTIVE

Business

First Name

JEANNINE

Middle

Last Name

WALTERS

Business Name

JEANNINE T WALTERS

Original Issue Date

07/06/1998

Effective Date

07/06/1998

Expiration Date

07/31/2002

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/15/2011