WALTER J ROCHE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030594

License Status

EXPIRED

Business

First Name

WALTER J

Last Name

ROCHE

Suffix

Business Name

WALTER J ROCHE MD

Original Issue Date

07/06/1993

Effective Date

07/06/1993

Expiration Date

07/05/1996

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006