WALTER AUSTIN PARHAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112518

License Status

ACTIVE

Business

First Name

WALTER

Middle

AUSTIN

Last Name

PARHAM

Suffix

Business Name

WALTER AUSTIN PARHAM MD

Original Issue Date

10/14/2004

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

MOUNT VERNON

State

Zip

62864

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/10/2023