KEVIN J WALSH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015002

License Status

EXPIRED

Business

First Name

KEVIN

Middle

Last Name

WALSH

Business Name

KEVIN J WALSH

Original Issue Date

10/08/1982

Effective Date

10/08/1982

Expiration Date

09/27/1984

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006