KRISTIN LYNN WALTER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

First Name

KRISTIN

Middle

LYNN

Last Name

WALTER

Suffix

Business Name

KRISTIN LYNN WALTER MD

Original Issue Date

08/04/2005

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2023