LAWRENCE C WALTERS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032393

License Status

EXPIRED

Business

First Name

LAWRENCE

Middle

Last Name

WALTERS

Business Name

LAWRENCE C WALTERS

Original Issue Date

01/04/1995

Effective Date

01/04/1995

Expiration Date

01/02/1998

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006