JEAN L WALSH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

First Name

JEAN

Middle

Last Name

WALSH

Suffix

Business Name

JEAN L WALSH DO

Original Issue Date

09/19/1994

Effective Date

03/06/2024

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023