GREGORY SCOTT WALLIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134280

License Status

NOT RENEWED

Business

Title

First Name

GREGORY

Middle

SCOTT

Last Name

WALLIN

Business Name

GREGORY SCOTT WALLIN MD

Original Issue Date

12/06/2013

Effective Date

08/18/2020

Expiration Date

07/31/2023

City

LISLE

State

Zip

60532

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/30/2023