ROME CHARLES WALTER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119367

License Status

NOT RENEWED

Business

First Name

ROME

Middle

CHARLES

Last Name

WALTER

Suffix

Business Name

ROME CHARLES WALTER DO

Original Issue Date

09/10/2007

Effective Date

09/10/2007

Expiration Date

07/31/2008

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

11/06/2008