WILLIAM EMMETT WALSH JR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043904

License Status

CANCELLED

Business

First Name

WILLIAM

Middle

EMMETT

Last Name

WALSH

Suffix

JR MD

Business Name

WILLIAM EMMETT WALSH JR MD

Original Issue Date

06/18/2002

Effective Date

06/18/2002

Expiration Date

06/30/2005

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

09/22/2006