JEANNINE T WALTERS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034061

License Status

EXPIRED

Business

First Name

JEANNINE

Middle

Last Name

WALTERS

Business Name

JEANNINE T WALTERS

Original Issue Date

04/29/1996

Effective Date

04/29/1996

Expiration Date

06/20/1999

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006