BRIAN PATRICK WALCOTT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149400

License Status

ACTIVE

Business

Title

First Name

BRIAN

Middle

PATRICK

Last Name

WALCOTT

Business Name

BRIAN PATRICK WALCOTT MD

Original Issue Date

05/21/2019

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

KENILWORTH

State

Zip

60043

County

COOK

Ever Disciplined

LastModifiedDate

06/06/2023