JEFFREY W WALTON Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105352

License Status

INACTIVE

Business

First Name

JEFFREY

Middle

Last Name

WALTON

Business Name

JEFFREY W WALTON

Original Issue Date

08/03/2001

Effective Date

08/03/2001

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006