JOSEPH GABEL WALLER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049382

License Status

EXPIRED

Business

First Name

JOSEPH

Middle

GABEL

Last Name

WALLER

Suffix

Business Name

JOSEPH GABEL WALLER MD

Original Issue Date

10/13/2006

Effective Date

10/13/2006

Expiration Date

10/12/2009

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/14/2009