AMANDA TEMPLE WALBORN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036168253

License Status

ACTIVE

Business

Title

First Name

AMANDA

Middle

TEMPLE

Last Name

WALBORN

Business Name

AMANDA TEMPLE WALBORN MD

Original Issue Date

01/12/2024

Effective Date

01/12/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

01/12/2024