JENNIFER L WALLS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057842

License Status

EXPIRED

Business

Title

First Name

JENNIFER

Middle

Last Name

WALLS

Business Name

JENNIFER L WALLS MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/07/2013