LUTHER MASON WALLS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076787

License Status

CANCELLED

Business

Title

First Name

LUTHER

Middle

MASON

Last Name

WALLS

Business Name

LUTHER MASON WALLS MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/26/2020