PATRICK COLLINS WALZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062691

License Status

EXPIRED

Business

Title

First Name

PATRICK

Middle

COLLINS

Last Name

WALZ

Business Name

PATRICK COLLINS WALZ MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatric Otolaryngology

Ever Disciplined

LastModifiedDate

03/13/2015