KEVIN PATRICK WALSH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075160

License Status

CANCELLED

Business

Title

First Name

KEVIN

Middle

PATRICK

Last Name

WALSH

Business Name

KEVIN PATRICK WALSH MD

Original Issue Date

06/22/2019

Effective Date

06/22/2019

Expiration Date

06/21/2022

City

MAYWOOD

State

Zip

60153

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/11/2019