RYAN P WALSH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111714

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

Last Name

WALSH

Suffix

Business Name

RYAN P WALSH MD

Original Issue Date

06/28/2004

Effective Date

04/22/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61602

County

PEORIA

Ever Disciplined

LastModifiedDate

11/01/2017