BLAKE WALTERS DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038013116

License Status

NOT RENEWED

Business

Title

First Name

BLAKE

Last Name

WALTERS

Business Name

BLAKE WALTERS DC

Original Issue Date

06/20/2017

Effective Date

06/20/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021