WALTER AUSTIN PARHAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

First Name

WALTER

Middle

AUSTIN

Last Name

PARHAM

Suffix

Business Name

WALTER AUSTIN PARHAM MD

Original Issue Date

11/09/2004

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

MT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2023