LUKE STEWART WALLIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154008

License Status

NOT RENEWED

Business

Title

First Name

LUKE

Middle

STEWART

Last Name

WALLIS

Business Name

LUKE STEWART WALLIS MD

Original Issue Date

08/13/2020

Effective Date

08/13/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023