JACLYN ANNE WALSH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062927

License Status

CANCELLED

Business

Title

First Name

JACLYN

Middle

ANNE

Last Name

WALSH

Business Name

JACLYN ANNE WALSH MD

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

06/23/2016

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014