CODY ALLEN WALTER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086825

License Status

ACTIVE

Business

Title

First Name

CODY

Middle

ALLEN

Last Name

WALTER

Business Name

CODY ALLEN WALTER DO

Original Issue Date

06/26/2025

Effective Date

06/26/2025

Expiration Date

06/25/2028

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/29/2025