PATRICK SULLIVAN WALSH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068388

License Status

EXPIRED

Business

Title

First Name

PATRICK

Middle

SULLIVAN

Last Name

WALSH

Business Name

PATRICK SULLIVAN WALSH MD

Original Issue Date

06/22/2016

Effective Date

06/22/2016

Expiration Date

06/22/2019

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/02/2019